Provider Demographics
NPI:1295982577
Name:PALUGYAY, REBECCA A (MSW-PIP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:PALUGYAY
Suffix:
Gender:F
Credentials:MSW-PIP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:ASCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW-PIP
Mailing Address - Street 1:1305 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0401
Mailing Address - Country:US
Mailing Address - Phone:605-333-7188
Mailing Address - Fax:605-333-1585
Practice Address - Street 1:1305 W 18TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-0401
Practice Address - Country:US
Practice Address - Phone:605-333-7188
Practice Address - Fax:605-333-1585
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD23531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical