Organization Name: | THERACARE, INC. |
NPI Number: | 1104888635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA KAYE NITSCHELM (DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS) |
Mailing Address: | 602 Mount Rushmore Rd Suite 2 Custer |
State: | SD US |
Postal Code: | 577302031 |
Phone Number: | 6056733488 |
Fax Number: | 6056733496 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |