Individual
MELANIE LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 18TH AVE NE, ABERDEEN, SD 57401-1537
(605) 380-5162
Mailing address
1310 18TH AVE NE, ABERDEEN, SD 57401-1537
(605) 380-5162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078443
ASHA CERTIFICATION
SD
Enumeration date
10/10/2008
Last updated
01/22/2009
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