Individual
JUSTIN ARIK GRIPENTROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
6901 SHAWNEE MISSION PKWY, OVERLAND PARK, KS 66202-4005
(888) 913-1910
Mailing address
93 SUMMIT ST APT 3, PAWTUCKET, RI 02860-4200
(989) 327-4789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL60952352
WA
235Z00000X
Speech-Language Pathologist
SLP.0003909
CO
235Z00000X
Speech-Language Pathologist
Primary
SP01756
RI
Other
Enumeration date
04/19/2019
Last updated
03/08/2023
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