Linda Conrad, SLP

Individual provider Active NPI Speech-Language Pathologist · Hayti, SD

NPI 1114473980 · NPPES record last updated Aug 31, 2016

Key facts

NPI
1114473980
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
205-LIMITED (SD)
Practice address
310 5TH St.
Hayti, SD 57241-0327
Phone
(605) 783-3607
Fax
(605) 783-3259
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
205-LIMITEDSDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 205-LIMITED SD Yes

Addresses

Primary practice location

310 5TH St.
Hayti, SD 57241-0327

Mailing address

PO Box 327
Hayti, SD 57241-0327
Phone (605) 783-3607

Other providers in Hayti, SD

All providers in Hayti, SD · Speech-Language Pathologist in South Dakota

Sources for this page

Verify at the official NPI Registry.