Individual
REBECCA STUKENHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-4001
Mailing address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-4001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/06/2015
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