Individual
STEVENSON PRUSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1910 E APPLE AVE STE GH, MUSKEGON, MI 49442-4281
(231) 333-9148
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(142) 944-0509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008648
MI
Other
Enumeration date
01/18/2023
Last updated
10/24/2023
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