Individual
LYNNANN KAPUSTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1322 U ST, AUBURN, NE 68305-3215
(402) 274-4954
Mailing address
PO BOX 154, SYRACUSE, NE 68446-0154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018
LISCENCE NUMBER
NE
Enumeration date
01/25/2019
Last updated
01/25/2019
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