Rachel Lyn De Boer, MS
Individual provider Active NPI Speech-Language Pathologist · Sioux Falls, SD
NPI 1306325097 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1306325097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 777 (SD)
- Practice address
- 1020 W 18TH St
Sioux Falls, SD 57104-4707 - Phone
- (605) 444-9700
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 777 | SD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 777 | SD | Yes |
Addresses
Primary practice location
1020 W 18TH St
Sioux Falls, SD 57104-4707
Mailing address
1020 W 18TH St
Sioux Falls, SD 57104-4707
Other providers in Sioux Falls, SD
- Richard P. Day
- Anand Dayama
- DBM, LLC
- Christopher De Berg
- Kristen Leann De Berg
- Karen De Bruin
- Samantha De Groot
- Paige Nicole De Haan
- De Jong Behavioral Health Services, PLLC
- Mitzi Quetzal De la Cruz-Garcia
All providers in Sioux Falls, SD · Speech-Language Pathologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.