Individual
DR. SHELLEY LYNN SANDBULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
2210 S BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 332-1700
(605) 336-9031
Mailing address
2210 S BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 332-1700
(605) 336-9031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
311
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6550683
—
SD
Enumeration date
08/31/2005
Last updated
03/05/2012
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