Individual
KAITLYN KURZHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 213-5080
(833) 315-2429
Mailing address
1116 WOODLAWN BLVD, SOUTH BEND, IN 46616-1950
(574) 229-5645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14255177
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14255177
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
05/31/2019
Last updated
04/23/2024
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