Provider Demographics
NPI:1245566835
Name:AARSTAD, JILL M (MA/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:M
Last Name:AARSTAD
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 ELM ST
Mailing Address - Street 2:
Mailing Address - City:TYNDALL
Mailing Address - State:SD
Mailing Address - Zip Code:57066-2107
Mailing Address - Country:US
Mailing Address - Phone:605-589-4440
Mailing Address - Fax:
Practice Address - Street 1:1707 ELM ST
Practice Address - Street 2:
Practice Address - City:TYNDALL
Practice Address - State:SD
Practice Address - Zip Code:57066-2107
Practice Address - Country:US
Practice Address - Phone:605-589-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist