MEDICARE: MS. SHIRA KATZ MS 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	41Y500198700	NJ

General Provider Information

NPI Number	:	1366435489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHIRA KATZ MS CCC SLP

Provider Business Mailing Address
First Line	:	4691 ROUTE 9 N
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3384
Country	:	US
Telephone Number	:	732-942-7220
Fax Number	:	732-942-7225

Provider Business Practice Location Address
First Line	:	4691 ROUTE 9 N
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3384
Country	:	US
Telephone Number	:	732-942-7220
Fax Number	:	732-942-7225

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/16/2025

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