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NPI Code Detail

MEDICARE: LAURA KUYPER CCC-SLP

MEDICARE:   LAURA  KUYPER  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1720910888
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KUYPER CCC-SLP
Provider Business Mailing Address
First Line : 1200 SHAKOPEE TOWN SQ
Second Line :
City : SHAKOPEE
State : MN
Zip : 55379-1902
Country : US
Telephone Number : 952-496-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1200 SHAKOPEE TOWN SQ
Second Line :
City : SHAKOPEE
State : MN
Zip : 55379-1902
Country : US
Telephone Number : 952-496-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ LAURA KUYPER CCC-SLP” Practice Location

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