| Mrs Kirsten Elizabeth Titze Blackwell, MS, CCC-SLP | |
|
401 9th Ave Nw, Watertown, SD 57201 | |
| (605) 882-7700 | |
| (605) 882-7990 |
| Full Name | Mrs Kirsten Elizabeth Titze Blackwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 401 9th Ave Nw, Watertown, 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 |
|---|---|---|---|
| 1033707138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 870-SLP (South Dakota) | Primary |
| Provider Name | Prairie Lakes Health Care System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kirsten Elizabeth Titze Blackwell, MS, CCC-SLP 401 9th Ave Nw, Watertown, SD 57201 Ph: (605) 882-7676 | Mrs Kirsten Elizabeth Titze Blackwell, MS, CCC-SLP 401 9th Ave Nw, Watertown, SD 57201 Ph: (605) 882-7700 |
Mrs. Dalynn Michele Schoenefeld, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2819 5th Ave Nw, Watertown, SD 57201 Phone: 605-880-3581 | |
Mrs. Andrea Michelle Vosberg, MA, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 215 S Maple, Watertown, SD 57201 Phone: 605-886-5777 Fax: 605-886-0790 | |
Ainsley Monize, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 9th St Ne, Watertown, SD 57201 Phone: 605-882-6316 Fax: 605-882-6327 | |
Kristi Stevenson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 13th St Ne, Watertown, SD 57201 Phone: 605-882-6340 Fax: 605-882-6365 | |
Emily Frederick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Maple, Watertown, SD 57201 Phone: 605-882-6390 Fax: 605-882-6391 | |
Mrs. Carolyn Holien, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 11th St Ne, Watertown, SD 57201 Phone: 605-882-6370 |