Healthcare Provider Details

I. General information

NPI: 1407263767
Provider Name (Legal Business Name): ANDERSON-SMITH SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 S CINNAMON RIDGE PL
SIOUX FALLS SD
57108-6466
US

IV. Provider business mailing address

8011 S CINNAMON RIDGE PL
SIOUX FALLS SD
57108-6466
US

V. Phone/Fax

Practice location:
  • Phone: 605-271-1852
  • Fax: 844-676-6539
Mailing address:
  • Phone: 605-271-1852
  • Fax: 844-676-6539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number342-SLP
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA K JOHNSON
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential:
Phone: 605-271-1852