Healthcare Provider Details

I. General information

NPI: 1922919968
Provider Name (Legal Business Name): TERI CHRISTIANSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 VALLEY DR
BELLE FOURCHE SD
57717-2078
US

IV. Provider business mailing address

1312 POLLEY DR
SPEARFISH SD
57783-1556
US

V. Phone/Fax

Practice location:
  • Phone: 605-723-3382
  • Fax:
Mailing address:
  • Phone: 605-390-0159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1529-SLP
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: