Healthcare Provider Details

I. General information

NPI: 1831017862
Provider Name (Legal Business Name): TALLI ANNE RAML CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 5TH ST
HAYTI SD
57241-5009
US

IV. Provider business mailing address

531 26TH AVE NE
WATERTOWN SD
57201-7302
US

V. Phone/Fax

Practice location:
  • Phone: 605-783-3607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1409-PROV
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: