Michele Latt, BS
Individual provider Active NPI Speech-Language Pathologist · Faulkton, SD
NPI 1487100046 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1487100046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 079 (SD)
- Practice address
- 1114 Court St
Faulkton, SD 57438 - Phone
- (605) 598-6266
- Fax
- (605) 598-6666
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079 | SD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faulkton Area School District 24 3 | Past | Accepting new patients | |
| Faulkton Area Schools District 24 4 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 079 | SD | Yes |
Addresses
Primary practice location
1114 Court St
Faulkton, SD 57438
Mailing address
304 11TH Ave N
Faulkton, SD 57438-2144
Phone (605) 598-6266
Other providers in Faulkton, SD
- Trisha Hadrick
- Jamie Hartung
- Sheila K Hoffman
- Jesseca Lynn Kast
- Kelsey Lynne Kaufmann
- Kelsey Lee
- Jean Alicia Mitchell
- Jessi Muniz
- Chris Jon Ogle
- Carol Ann Pitts
All providers in Faulkton, 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 Sep 1, 2016. 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.