Doctor Name: | KATHRYN L MCSURDY |
NPI Number: | 1740501360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, CCC-SLP |
License Number: | |
Business Practice Address: | 365 East St Tewksbury, MA - 018761950 |
Business Phone Number: | 9788517321 |
Business Fax Number: | 9788632235 |
Mailing Address: | 1360 Main St, Unit 201 TEWKSBURY |
State: | MA |
Postal Code: | 018762197 |
Phone Number: | 9786188404 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 10/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |