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NPI Code Detail

MEDICARE: DENISE KURTZER

MEDICARE:   DENISE  KURTZER
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
1235Z00000XSpeech-Language Pathologist5812CA

General Provider Information

NPI Number : 1417133141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE KURTZER
Provider Business Mailing Address
First Line : 1239 23RD ST UNIT 1
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-1357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1239 23RD ST UNIT 1
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-1357
Country : US
Telephone Number : 310-453-3006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 01/11/2008

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Directions to “ DENISE KURTZER ” Practice Location

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