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DR. DEWEY J. ERTZ ED.D.

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1164606570

Provider Information:
DR. DEWEY J. ERTZ ED.D.
Gender: M
Not Sole Proprietor

Practice Location:
3601 CANYON LAKE DR  RAPID CITY, SD 57702-3900 US
Tel: 605-341-8647  Fax: 605-341-0489

Business Mailing Address:
3601 CANYON LAKE DR  RAPID CITY, SD 57702-3900 US
Tel: 605-341-8647  Fax: 605-341-0489

NPI Information:
NPI: 1164606570
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
SD123
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
SD123
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
SD29664-02

Other Provider Identifiers:

IssuerNumberStateType
460461452-26NE05
6550193SD05



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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