Provider Demographics
NPI:1235563289
Name:MURCH, TIMOTHY STEWART (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:STEWART
Last Name:MURCH
Suffix:
Gender:M
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 1:327 PORTER ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7656
Mailing Address - Country:US
Mailing Address - Phone:415-378-9408
Mailing Address - Fax:
Practice Address - Street 1:327 PORTER ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-7656
Practice Address - Country:US
Practice Address - Phone:415-378-9408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010547235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist