Autumn A Culhane

Individual provider Active NPI Speech-Language Pathologist · Brookings, SD

NPI 1982116406 · NPPES record last updated Oct 25, 2017

Key facts

NPI
1982116406
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
749-SLP (SD)
Practice address
2130 8TH St S
Brookings, SD 57006-3507
Phone
(605) 696-4700
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
749-SLPSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookings School District 5-1 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 749-SLP SD Yes

Addresses

Primary practice location

2130 8TH St S
Brookings, SD 57006-3507

Mailing address

16585 474TH Ave
Strandburg, SD 57265-6501

Other providers in Brookings, SD

All providers in Brookings, SD · Speech-Language Pathologist in South Dakota

Sources for this page

Verify at the official NPI Registry.