| Black Hills Neuropsychology Llc | |
|
403 National St Ste 1 Rapid City SD 57702-5908 | |
| (605) 341-8647 | |
| (605) 341-0489 |
| Full Name | Black Hills Neuropsychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 403 National St Ste 1, Rapid City, South Dakota |
| Authorized Official Name and Position | Laura W Hughes (OWNER/CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6058775000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Neuropsychology Llc 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 | Black Hills Neuropsychology Llc 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 |
| NPI Number | 1679232771 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 5799177390 |
|---|---|
| Medicare Enrollment ID | O20220111001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679232771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura W Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316915697 PECOS PAC ID: 9638143761 Enrollment ID: I20080326000261 |
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