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Organization

STATE OF SOUTH DAKOTA

Active
Other names
USD Speech & Hearing Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERI JAMES BELLIS PHD,CCC-A,FAAA (DEPARTMENT CHAIR)
(605) 677-5474
Entity
Organization

Contact information

Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767
Mailing address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
37
SD
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5830620
SD
Enumeration date
03/22/2007
Last updated
09/14/2011
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