Healthcare Provider Details
I. General information
NPI: 1255269015
Provider Name (Legal Business Name): ABIDE AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 3RD AVE SOUTH
CLEAR LAKE SD
57226
US
IV. Provider business mailing address
PO BOX 111
CLEAR LAKE SD
57226-0111
US
V. Phone/Fax
- Phone: 605-228-4304
- Fax:
- Phone: 605-228-4304
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
M
SEUSER
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 605-228-4304