Provider Demographics
NPI:1295936144
Name:TERPSTRA, LUZ CAROLINE
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:CAROLINE
Last Name:TERPSTRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5893 NW 69TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1350
Mailing Address - Country:US
Mailing Address - Phone:616-610-0948
Mailing Address - Fax:
Practice Address - Street 1:1701 SW 160TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4216
Practice Address - Country:US
Practice Address - Phone:754-323-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist