Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Kristine Sundstrom, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912686320

Holly Kristine Sundstrom, MS, CCC-SLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone: (779) 961-6447
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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 7101008279 (MI)

Record details

NPI number1912686320
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 13, 2023
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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