Doctor Name: | MRS. MARIE CERQUA KURTZ |
NPI Number: | 1508829532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SL005873L |
Business Practice Address: | 30 Hope Dr Mc Ec130 Hershey, PA - 170332036 |
Business Phone Number: | 7175318070 |
Business Fax Number: | 7175314558 |
Mailing Address: | 500 University Dr, Mc A410 HERSHEY |
State: | PA |
Postal Code: | 170332360 |
Phone Number: | 8002431455 |
Fax Number: | 7175317269 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005873L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |