| Jaculin Protexter, MA | |
|
1118 Woodriver Dr, Pierre, SD 57501-5224 | |
| (605) 280-7510 | |
| Not Available |
| Full Name | Jaculin Protexter |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1118 Woodriver Dr, Pierre, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801146501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 01090900 (South Dakota) | Primary |
| Provider Name | Avera St Marys |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaculin Protexter, MA 1118 Woodriver Dr, Pierre, SD 57501-5224 Ph: (605) 280-7510 | Jaculin Protexter, MA 1118 Woodriver Dr, Pierre, SD 57501-5224 Ph: (605) 280-7510 |
Ms. Kim Meyer Roberts, MA,CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 S Poplar Ave, Pierre, SD 57501 Phone: 605-773-7300 | |
Brenda Nedved, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 S Poplar Ave, Pierre, SD 57501 Phone: 605-773-7300 | |
Cassidy Potter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 S Poplar Ave, Pierre, SD 57501 Phone: 605-773-7300 | |
Aimee Van Houten, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 N Poplar Ave, Pierre, SD 57501 Phone: 605-773-7320 | |
Kelsee Stahl, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 S Poplar Ave, Pierre, SD 57501 Phone: 605-773-7300 | |
Mrs. Sharon B. Hoelscher, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 950 E Park St, Pierre, SD 57501 Phone: 605-224-8628 Fax: 605-224-6948 |