MEDICARE: HELENE SUSAN KATZ

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	011549	NY
2	235Z00000X	Speech-Language Pathologist	SA9759	FL

General Provider Information

NPI Number	:	1063559649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELENE SUSAN KATZ

Provider Business Mailing Address
First Line	:	2132 WELLS PL
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3431
Country	:	US
Telephone Number	:	561-469-6931
Fax Number	:	561-584-6519

Provider Business Practice Location Address
First Line	:	2132 WELLS PL
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3431
Country	:	US
Telephone Number	:	561-469-6931
Fax Number	:	561-584-6519

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	03/20/2017

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Directions to “ HELENE SUSAN KATZ ” Practice Location

Language	Start Address	Practice Location

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