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Contact Information

GERTRUDE B MAKGABENYANA, MA CLINICAL MENTAL
123 19TH ST NE
WATERTOWN, SD57201
 Phone: 605-886-0123
 Fax: 605-886-5447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GERTRUDE B MAKGABENYANA · (Female)

NPI # 1225221591
Status Active
Credentials MA CLINICAL MENTAL
Entity Individual
Enumeration date 08/21/2007
Last updated 02/17/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • NE License # 12537
  • SD Medicaid 5200010
  • Other 1013613322 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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