Organization
SANDBULTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY LYNN SANDBULTE EDD (LICENSED PSYCHOLOGIST/OWNER)
(605) 906-3329
Entity
Organization
Contact information
Practice address
1601 E. 69TH STR, SUITE 101, SIOUX FALLS, SD 57108
(605) 906-3329
(877) 814-0028
Mailing address
1601 E 69TH STR., SUITE 101, SIOUX FALLS, SD 57108-8322
(605) 906-3329
(877) 814-0028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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