Individual
ERICKA A SHUPTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4572 S HAGADORN RD STE 2H, EAST LANSING, MI 48823-5385
(517) 220-4974
(517) 220-4974
Mailing address
305 MURPHY CIR, EAST LANSING, MI 48823-4706
(248) 504-9530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
11/13/2020
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