Organization
BUILDING BLOCKS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA SHACKLETON (OWNER)
(605) 415-3611
Entity
Organization
Contact information
Practice address
605 BELMONT DR, RAPID CITY, SD 57702-0136
(605) 415-3611
Mailing address
605 BELMONT DR, RAPID CITY, SD 57702-0136
(605) 415-3611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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