Healthcare Provider Details

I. General information

NPI: 1417243007
Provider Name (Legal Business Name): ALINA MARIA KUZEL SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 CROWN JEWELS CT
FREDERICKSBURG VA
22407-8583
US

IV. Provider business mailing address

7105 CROWN JEWELS CT
FREDERICKSBURG VA
22407-8583
US

V. Phone/Fax

Practice location:
  • Phone: 540-548-8030
  • Fax:
Mailing address:
  • Phone: 540-548-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202006365
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: