Carly Marie Kupersmith

Speech-Language Pathologist · Geneseo, IL

Individual Active NPI

NPI number 1780163501

Practice location

415 N Russell Ave
Geneseo, IL 61254-2044
Phone
(309) 945-0625

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NPI record

NPI
1780163501
Entity type
Individual (Type 1)
Enumeration date
August 13, 2018
Last updated
August 13, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

310 20TH Ave W
Milan, IL 61264-3365
Phone
(815) 990-6803

Other practice locations (1)

  • 920 S Congress St, Geneseo, IL 61254-1808 · (309) 945-0475

About Carly Kupersmith

Carly Marie Kupersmith is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 415 N Russell Ave, Geneseo, IL 61254-2044. The NPI number 1780163501 was assigned on August 13, 2018 and the record was last updated on August 13, 2018.

Frequently asked questions

What is the NPI number of Carly Marie Kupersmith?

The NPI number is 1780163501.

What is the phone number of Carly Kupersmith?

The phone number listed for the practice location is (309) 945-0625.

Where is Carly Kupersmith located?

415 N Russell Ave, Geneseo, IL 61254-2044.

What is the taxonomy code for Carly Kupersmith?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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