Individual
MRS. HEATHER RAE GLASFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1107 CHARLES STREET, SPEARFISH, SD 57783
(218) 330-8941
Mailing address
1107 CHARLES ST, SPEARFISH, SD 57783-1601
(218) 330-8941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
355
SD
235Z00000X
Speech-Language Pathologist
7426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104065317
—
SD
Enumeration date
02/11/2009
Last updated
01/23/2015
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