Provider Demographics
NPI:1871747147
Name:KURTZMAN, SUSAN K (MS/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:K
Last Name:KURTZMAN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 EDGEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2106
Mailing Address - Country:US
Mailing Address - Phone:908-889-1825
Mailing Address - Fax:
Practice Address - Street 1:2234 EDGEWOOD TER
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2106
Practice Address - Country:US
Practice Address - Phone:908-889-1825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3368235Z00000X
NJ3375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist