MEDICARE: DR. ROBIN SUE KURTZ ED.D.

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	103TC1900X	Counseling Psychologist	740	AL

General Provider Information

NPI Number	:	1881795029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN SUE KURTZ ED.D.

Provider Business Mailing Address
First Line	:	2127 EXECUTIVE PARK DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6041
Country	:	US
Telephone Number	:	334-742-8004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2127 EXECUTIVE PARK DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6041
Country	:	US
Telephone Number	:	334-742-8004
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ROBIN SUE KURTZ ED.D.” Practice Location

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