Most Relevant Information
Provider Data
| NPI Number: | 1003067851 |
| Provider Name: | STACEY MARIE TSCHETTER MA CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 01078238 |
Most Important Dates
| Enumeration Date: | 10/09/2008 |
| Last Updated: | 10/09/2008 |
Provider Practice Location
8021 ALFALFA CT
RAPID CITY
SD
577028977
Practice Location Phone/Fax
| Phone: | 6053558919 |
| Fax: |
Provider Mailing Location
8021 ALFALFA CT
RAPID CITY
SD
577028977
Provider Mailing Phone/Fax
| Phone: | 6053558919 |
| Fax: |