Individual
MICHELLE M SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2720 8TH ST SW STE B, ALTOONA, IA 50009
(515) 957-8609
(515) 957-9264
Mailing address
1200 PLEASANT STREET, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01291
IA
235Z00000X
Speech-Language Pathologist
4364-154
WI
Other
Enumeration date
09/15/2016
Last updated
07/17/2018
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