Active NPIIndividual providerSole proprietor

Kostandina Mouritzen, MS, CCC-SLP

Speech-Language Pathologist, in Brick, New Jersey

NPI Number1578364261
Practice location
102 Celebration Blvd, Brick, NJ 08723-3528
Fax
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Last updated
March 20, 2025

Kostandina Mouritzen is a Speech-Language Pathologist, based in Brick, NJ. Kostandina Mouritzen practices in Brick, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Kostandina Mouritzen is 1578364261 and holds a License No. 41YS01207400 (NJ). The current practice location address for Kostandina Mouritzen is 102 Celebration Blvd, Brick, NJ 08723-3528 and can be reached out via phone at 718-697-9787.

Provider Profile Details

NPI Number
1578364261
Provider Name
Kostandina Mouritzen
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
102 Celebration Blvd, Brick, NJ 08723-3528
Phone Number
718-697-9787
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2025
Last Update Date
March 20, 2025
Certification Date
March 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Celebration Blvd
Brick, NJ 08723-3528
City
Brick
Zip
08723-3528
Phone Number
718-697-9787
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
102 Celebration Blvd
Brick, NJ 08723-3528
City
Brick
State
NJ
Zip
08723-3528
Phone Number
718-697-9787

License Information

License Number
41YS01207400
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kostandina Mouritzen, MS, CCC-SLP?

The NPI number of Kostandina Mouritzen, MS, CCC-SLP is 1578364261. It was assigned on March 20, 2025 and is currently active in the NPPES registry.

What is the specialty of Kostandina Mouritzen, MS, CCC-SLP?

Kostandina Mouritzen, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01207400.

Where does Kostandina Mouritzen, MS, CCC-SLP practice?

The practice location is 102 Celebration Blvd, Brick, NJ 08723-3528. The office can be reached at 718-697-9787 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578364261 directly on the NPPES registry website.

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