Doctor Name: | CONNIE GERTSEN |
NPI Number: | 1568890499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 091-SLP |
Business Practice Address: | 8 5th St Se Watertown, SD - 572013713 |
Business Phone Number: | 6057535400 |
Business Fax Number: | 6057536208 |
Mailing Address: | 309 Washington Ave, ORTONVILLE |
State: | MN |
Postal Code: | 562781357 |
Phone Number: | 3208394271 |
Fax Number: | 3208394196 |
NPI Enumeration Date: | 11/01/2013 |
NPI Last Update Date: | 11/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 091-SLP |
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 |