Individual
JAYDE JACKLYN OSTERMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 W 18TH ST, SIOUX FALLS, SD 57104-4724
(605) 367-8378
Mailing address
710 W 18TH ST, SIOUX FALLS, SD 57104-4724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
819-PROV
SD
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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