Individual
TERESSA SUSANNE RUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED., CCC-SLP
Contact information
Practice address
3112 ANTELOPE AVE, KEARNEY, NE 68847-9781
(308) 338-9238
(308) 338-9208
Mailing address
7030 KILGORE RD, GIBBON, NE 68840-3089
(308) 440-8648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
903
NE
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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