Provider Demographics
NPI:1316156110
Name:HURWITZ, MORTON WILLIAM (MSCCC SLP)
Entity type:Individual
Prefix:
First Name:MORTON
Middle Name:WILLIAM
Last Name:HURWITZ
Suffix:
Gender:M
Credentials:MSCCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 LAKESHORE DR
Mailing Address - Street 2:APT # 815
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3683
Mailing Address - Country:US
Mailing Address - Phone:561-775-5812
Mailing Address - Fax:
Practice Address - Street 1:9850 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6504
Practice Address - Country:US
Practice Address - Phone:754-322-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBA-0000461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist