Provider Demographics
NPI:1457768137
Name:MURTHA, SUSAN CATHERINE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:CATHERINE
Last Name:MURTHA
Suffix:
Gender:F
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 1:187 BLUE GRASS CIR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3048
Mailing Address - Country:US
Mailing Address - Phone:412-327-9650
Mailing Address - Fax:
Practice Address - Street 1:187 BLUE GRASS CIR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3048
Practice Address - Country:US
Practice Address - Phone:412-327-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL00456L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist