Lauren Kruesel
Individual provider Active NPI Speech-Language Pathologist · Harrisburg, SD
NPI 1154046076 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1154046076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14429767
- Practice address
- 200 East Willow Street
Harrisburg, SD 57032 - Phone
- (605) 743-2567
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14429767 | Yes |
Addresses
Primary practice location
200 East Willow Street
Harrisburg, SD 57032
Mailing address
200 East Willow Street
Harrisburg, SD 57032
Other providers in Harrisburg, SD
- Kindroot Therapy, PLLC
- Derek W Klatt
- Mamery Kone
- Konrady Psychological Services, LLC
- Casey William Krejci
- Kathryn M Larson I
- Heather Jean Law
- Monica Ann Leach
- Calli Piper London
- Nathan Lutz
All providers in Harrisburg, SD · Speech-Language Pathologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.