| NPI | 1588516256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE TEDFORD Speech Language Pathologist 605-381-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-02-13 |