Organization
STATE OF SOUTH DAKOTA
Active
Other names
USD Scottish Rite SF Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI JAMES BELLIS PHD,CCC-A,FAAA,F-ASH (ASSOCIATE PROF, DEPARTMENT CHAIR)
(605) 677-5474
Entity
Organization
Contact information
Practice address
520 S 1ST AVE, SIOUX FALLS, SD 57104-6902
(605) 677-5474
(605) 677-5767
Mailing address
414 E CLARK ST, NOTEBOOM HALL, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
SD
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830560
—
SD
Enumeration date
03/22/2007
Last updated
11/23/2010
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