Healthcare Provider Details

I. General information

NPI: 1073282331
Provider Name (Legal Business Name): PRUSKOWSKI SPEECH AND LANGUAGE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 D AVE
EUREKA SD
57437-2141
US

IV. Provider business mailing address

907 D AVE
EUREKA SD
57437-2141
US

V. Phone/Fax

Practice location:
  • Phone: 814-937-1985
  • Fax:
Mailing address:
  • Phone: 814-937-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JUSTINE JOY PRUSKOWSKI
Title or Position: SPEECH LANGUAGE PATHOLOGIST AND OWN
Credential:
Phone: 814-937-1985