Provider Demographics
NPI:1689806127
Name:MURDZA, SUZANNE P (M-ED)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:P
Last Name:MURDZA
Suffix:
Gender:F
Credentials:M-ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 MEDICAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9387
Mailing Address - Country:US
Mailing Address - Phone:570-523-1163
Mailing Address - Fax:570-524-5737
Practice Address - Street 1:80 MEDICAL PARK DRIVE
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9387
Practice Address - Country:US
Practice Address - Phone:570-523-1163
Practice Address - Fax:570-524-5737
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000279L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter