Individual
SAMANTHA RUPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP - CCC
Contact information
Practice address
9800 HANNA LAKE AVE SE, CALEDONIA, MI 49316-8261
(616) 550-8770
Mailing address
9800 HANNA LAKE AVE SE, CALEDONIA, MI 49316-8261
(616) 550-8770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14302083
MI
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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