Speech and Language Studio of the Black Hills

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

061 Issued in SD

Legal business name

SPEECH AND LANGUAGE STUDIO OF THE BLACK HILLS

Practice address

2040 W Main St Ste 209
Rapid City, SD 57702-2446

Phone

(605) 431-8501

NPI assigned

May 9, 2016

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara S Wirtz, MA, CCC-SLP

Title

Owner

Phone

(605) 431-8501

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1285080242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W MAIN ST STE 209",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022446",
            "telephone_number": "605-431-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W MAIN ST STE 209",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022446",
            "telephone_number": "605-431-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE STUDIO OF THE BLACK HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "WIRTZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-431-8501",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Stefan Spahn, MD
• Nickolaus A. Spain, CRNA
• Carol Spangler, CNP
• John G Spangler, M.D.
• Rebecca Spangler, OTD, OTR/L
• Speech Happy, LLC
• Samantha Speed, DNP
• Gale Marie Speidel, RPH, PHARMD
• Jaclyn Michelle Spencer, CRNA
• Spirals Counseling, LLC

• Speech-Language Pathologist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.