Individual
AMY ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7924
Mailing address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7924
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
73734
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73734
STATE EDUCATOR'S CERTIFICATION
SD
Enumeration date
08/30/2016
Last updated
08/30/2016
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