Professional Speech Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01270 Issued in MN

Legal business name

PROFESSIONAL SPEECH SERVICES LLC

Practice address

308 4TH Ave NW
Austin, MN 55912-3140

Phone

(507) 434-9177

Fax

(515) 270-0539

NPI assigned

Jun 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristina Shupe, SLP

Title

Sole Proprietor

Phone

(507) 434-9177

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1568800076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64317",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640317",
            "telephone_number": "507-434-9177",
            "fax_number": "515-270-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 4TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123140",
            "telephone_number": "507-434-9177",
            "fax_number": "515-270-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "507-434-9177",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "01270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Austin, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.