Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bruce John Poburka, PHD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1225697857

Dr. Bruce John Poburka, PHD, CCC-SLP is a Speech-Language Pathologist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

150 Post Rd
Mankato, MN 56001-6062
Phone: (507) 389-5843
Fax: (507) 389-2821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6254 (MN)

Record details

NPI number1225697857
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESJune 7, 2019

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