Organization
SHUPTAR SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA SHUPTAR MS, CCC-SLP (OWNER)
(248) 504-9530
Entity
Organization
Contact information
Practice address
305 MURPHY CIR, EAST LANSING, MI 48823-4706
(248) 504-9530
Mailing address
305 MURPHY CIR, EAST LANSING, MI 48823-4706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/13/2024
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