MEDICARE: SUZANNE MURDZEK CCC, SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2202003450	VA

General Provider Information

NPI Number	:	1023347606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE MURDZEK CCC, SLP

Provider Business Mailing Address
First Line	:	PO BOX 411430
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-1430
Country	:	US
Telephone Number	:	888-830-4125
Fax Number	:

Provider Business Practice Location Address
First Line	:	4413 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-3326
Country	:	US
Telephone Number	:	804-406-4322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	01/31/2023

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