Provider Demographics
NPI:1518655240
Name:MINDS MATTER PLLC
Entity Type:Organization
Organization Name:MINDS MATTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HOEFT
Authorized Official - Suffix:
Authorized Official - Credentials:MS/CCC-SLP
Authorized Official - Phone:605-380-0137
Mailing Address - Street 1:39515 PINTAIL AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:SD
Mailing Address - Zip Code:57427-5939
Mailing Address - Country:US
Mailing Address - Phone:605-380-0137
Mailing Address - Fax:
Practice Address - Street 1:39515 PINTAIL AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:SD
Practice Address - Zip Code:57427-5939
Practice Address - Country:US
Practice Address - Phone:605-380-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty