Bridget Ambur, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fort Pierre, SD
NPI 1497061758 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1497061758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 124 Port Charlotte Ave
Fort Pierre, SD 57532-2303 - Phone
- (605) 280-9777
- NPI assigned
- Aug 25, 2010
- 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 Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
124 Port Charlotte Ave
Fort Pierre, SD 57532-2303
Mailing address
124 Port Charlotte Ave
Fort Pierre, SD 57532-2303
Phone (605) 280-9777
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All providers in Fort Pierre, 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 14, 2013. 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.