Courtney Dietrich

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011810 Issued in PA

Practice address

226 S Spruce St
Lititz, PA 17543-2316

Phone

(717) 669-4118

NPI assigned

Mar 19, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1124445804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S SPRUCE ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432316",
            "telephone_number": "717-669-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S SPRUCE ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432316",
            "telephone_number": "717-669-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley De Perrot, OTR/L
• Jonathan Deboer, D.O.
• Mia Deibert
• William Devorick, LPC
• Jason Dickow, OTR/L
• Laura Dipaolo
• Matthew Dirodio, PAC
• Lindsay Steiger Ditlow, LSW
• Sabrina DO, DO
• Margaret Louise Donahue, M.D.

• Speech-Language Pathologist in Lititz, PA
• Providers in Lititz, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.