Organization
PROFESSIONAL SPEECH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA SHUPE SLP (SOLE PROPRIETOR)
(507) 434-9177
Entity
Organization
Contact information
Practice address
308 4TH AVE NW, AUSTIN, MN 55912-3140
(507) 434-9177
(515) 270-0539
Mailing address
PO BOX 64317, SAINT PAUL, MN 55164-0317
(507) 434-9177
(515) 270-0539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01270
MN
Other
Enumeration date
06/06/2013
Last updated
11/15/2013
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