Doctor Name: | RENAE LYNN GINGRICH |
NPI Number: | 1205108958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC/SLP |
License Number: | 8603 |
Business Practice Address: | 706 Eagle Run Dell Rapids, SD - 570222142 |
Business Phone Number: | 6054285851 |
Business Fax Number: | |
Mailing Address: | 6204 W 66th St, SIOUX FALLS |
State: | SD |
Postal Code: | 571062483 |
Phone Number: | 6058387297 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2012 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8603 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |