Organization
BLACK HILLS SPEECH INC
Active
Organization
BLACK HILLS SPEECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI LYNN KUSSART M.ED.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(605) 390-0833
Entity
Organization
Contact information
Practice address
12000 NEMO RD, NEMO, SD 57759-7618
(605) 390-0833
Mailing address
12000 NEMO RD, NEMO, SD 57759-7618
(605) 390-0833
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
09142861
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5837050
—
SD
Enumeration date
12/12/2012
Last updated
12/12/2012
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