Provider Demographics
NPI:1508050584
Name:MURRAY, NATALIE K (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:K
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 E DUVAL ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-3471
Mailing Address - Country:US
Mailing Address - Phone:386-752-9919
Mailing Address - Fax:386-752-9244
Practice Address - Street 1:578 E DUVAL ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-3471
Practice Address - Country:US
Practice Address - Phone:386-752-9919
Practice Address - Fax:386-752-9244
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6219235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist