Provider Demographics
NPI:1821835729
Name:KURMEN, BERTHA STEPHANIE
Entity type:Individual
Prefix:
First Name:BERTHA
Middle Name:STEPHANIE
Last Name:KURMEN
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 1:6139 BAINBRIDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2246
Mailing Address - Country:US
Mailing Address - Phone:210-417-8466
Mailing Address - Fax:
Practice Address - Street 1:6139 BAINBRIDGE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2246
Practice Address - Country:US
Practice Address - Phone:210-417-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist