Dr. Dewey J. Ertz
Psychologist Addiction Counselor (Substance Use Disorder) Family Psychologist School Psychologist and 5 more
3601 Canyon Lake Dr
Rapid City
, South Dakota 57702-3900
Dr. Dewey J. Ertz
Psychologist Addiction Counselor (Substance Use Disorder) Family Psychologist School Psychologist and 5 more
3601 Canyon Lake Dr
Rapid City
, South Dakota 57702-3900
(605) 341-0489
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Psychologist
- Clinical Psychologist
- Family Psychologist
- Forensic Psychologist
- Intellectual & Developmental Disabilities
- Group Psychotherapist
- Rehabilitation Psychologist
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Dewey J. Ertz
- 3601 Canyon Lake Dr
- Rapid City, SD
- Zip : 57702-3900
- Fax : (605) 341-0489
- Phone : (605) 341-8647
Second Address
- Dr. Dewey J. Ertz
- 3601 Canyon Lake Dr
- Rapid City, SD
- Zip : 57702-3900
- Fax : (605) 341-0489
- Phone : (605) 341-8647
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 123 | SD |
| Y | 102L00000X | Psychologist | 123 | SD |
| Y | 103T00000X | Psychologist | 123 | SD |
| N | 103G00000X | Clinical Psychologist | 123 | SD |
| N | 103TC0700X | Clinical Psychologist | 123 | SD |
| N | 103TF0000X | Family Psychologist | 123 | SD |
| N | 103TF0200X | Forensic Psychologist | 123 | SD |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 123 | SD |
| N | 103TP2701X | Group Psychotherapist | 123 | SD |
| N | 103TR0400X | Rehabilitation Psychologist | 123 | SD |
| N | 103TS0200X | School Psychologist | 29664-02 | SD |
National Provider Identifier
| NPI | 1164606570 |
|---|---|
| Provider Name | Dr. Dewey J. Ertz |
| First Address | Rapid City, SD 57702-3900 |
| Second Address | Rapid City, SD 57702-3900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2007 |
| Last Update Date | 20/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 460461452-26 | (05) | NE |
| 6550193 | (05) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.