Custer School District 16-1 | |
1415 Wild Cat Ln Custer SD 57730-2478 | |
(605) 673-4483 | |
Not Available |
Full Name | Custer School District 16-1 |
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Speciality | Psychologist - School |
Location | 1415 Wild Cat Ln, Custer, South Dakota |
Authorized Official Name and Position | Katherine Jensen (SPECIAL EDUCATION EVALUATOR) |
Authorized Official Contact | 6056732172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Custer School District 16-1 527 Montgomery St Custer SD 57730-1124 Ph: (605) 673-2171 | Custer School District 16-1 1415 Wild Cat Ln Custer SD 57730-2478 Ph: (605) 673-4483 |
NPI Number | 1194516500 |
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Provider Enumeration Date | 05/15/2025 |
Last Update Date | 05/15/2025 |
Certification Date | 05/15/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194516500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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The Counseling Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 538 Mount Rushmore Rd, Custer, SD 57730 Phone: 605-517-0519 | |
Horse Nation Healing, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 N 5th St., Custer, SD 57730 Phone: 605-431-1927 Fax: 605-923-6466 | |
Star Academy For Youth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12279 Brady Dr, Custer, SD 57730 Phone: 605-673-2521 Fax: 605-673-4654 | |
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