Doctor Name: | SHERRI LYNN VANDER VORST |
NPI Number: | 1336383231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 09139375 |
Business Practice Address: | 401 9th Ave Nw Watertown, SD - 572011548 |
Business Phone Number: | 6058827000 |
Business Fax Number: | 6058827636 |
Mailing Address: | 401 9th Ave Nw, WATERTOWN |
State: | SD |
Postal Code: | 572011548 |
Phone Number: | 6058827000 |
Fax Number: | 6058827636 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 09139375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |