Doctor Name: | BECKY A CERMAK |
NPI Number: | 1528175148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 2221 Rhonda Rd Brookings, SD - 570064619 |
Business Phone Number: | 6052100963 |
Business Fax Number: | |
Mailing Address: | 2221 Rhonda Rd, BROOKINGS |
State: | SD |
Postal Code: | 570064619 |
Phone Number: | 6052100963 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |