Provider Demographics
NPI:1043541691
Name:VOSBERG, ANDREA MICHELLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:MICHELLE
Last Name:VOSBERG
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-6903
Mailing Address - Country:US
Mailing Address - Phone:605-881-5669
Mailing Address - Fax:605-886-0790
Practice Address - Street 1:215 S MAPLE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-4316
Practice Address - Country:US
Practice Address - Phone:605-886-5777
Practice Address - Fax:605-886-0790
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist