MEDICARE: MRS. SUSAN K KURTZMAN 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	3368	NY
2	235Z00000X	Speech-Language Pathologist	3375	NJ

General Provider Information

NPI Number	:	1871747147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN K KURTZMAN MS/CCC-SLP

Provider Business Mailing Address
First Line	:	2234 EDGEWOOD TER
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2106
Country	:	US
Telephone Number	:	908-889-1825
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 EDGEWOOD TER
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2106
Country	:	US
Telephone Number	:	908-889-1825
Fax Number	:

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

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	11/12/2008

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