Beth Prasek

Individual provider Active NPI School Psychologist · Dell Rapids, SD

NPI 1932552015 · NPPES record last updated Oct 14, 2016

Key facts

NPI
1932552015
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
60729-5 (SD)
Practice address
512 N Garfield Ave
Dell Rapids, SD 57022-1719
Phone
(605) 428-6230
NPI assigned
Jul 13, 2016
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

State licenses

LicenseStateTypeSpecialty
60729-5SDMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 60729-5 SD Yes

Addresses

Primary practice location

512 N Garfield Ave
Dell Rapids, SD 57022-1719

Mailing address

512 N Garfield Ave
Dell Rapids, SD 57022-1719
Phone (605) 428-6230

Other providers in Dell Rapids, SD

All providers in Dell Rapids, SD · School Psychologist in South Dakota

Sources for this page

Verify at the official NPI Registry.