| NPI | 1285785436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C COLLERAN Busness Manager 605-224-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SD 33-001-E-UT) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2022-07-21 |