Dawn Witcraft
Individual provider Active NPI Speech-Language Pathologist · Saint James, MN
NPI 1740558592 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1740558592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7760 (MN)
- Practice address
- 1000 2ND St S
Saint James, MN 56081-1826 - Phone
- (507) 375-3286
- Fax
- (507) 375-3288
- NPI assigned
- Dec 8, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7760 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7760 | MN | Yes |
Addresses
Primary practice location
1000 2ND St S
Saint James, MN 56081-1826
Mailing address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 334-5630
Other providers in Saint James, MN
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- Cinda Lou Wallace
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- Paul R Windschill
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- Dawn Marie Zollars
All providers in Saint James, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. 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.