Healthcare Provider Details

I. General information

NPI: 1336394139
Provider Name (Legal Business Name): JUSTINE JOY PRUSKOWSKI MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUSTINE JOY LINK MS, CCC-SLP

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
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 Number973-SLP
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: