Provider Demographics
NPI:1073919239
Name:RICHTER, ABBEY (SLP)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:RICHTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:309 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56278-1357
Mailing Address - Country:US
Mailing Address - Phone:320-839-4271
Mailing Address - Fax:320-839-4196
Practice Address - Street 1:500 CROSS ST
Practice Address - Street 2:
Practice Address - City:BIG STONE CITY
Practice Address - State:SD
Practice Address - Zip Code:57216-8237
Practice Address - Country:US
Practice Address - Phone:605-541-1140
Practice Address - Fax:605-541-0109
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9230235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist