Courtney A Cadwell
Individual provider Active NPI Speech-Language Pathologist · Perry, GA
NPI 1245569714 · NPPES record last updated Dec 13, 2009
Key facts
- NPI
- 1245569714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET001497 (GA)
- Practice address
- 902 Northside Dr
Perry, GA 31069-3344 - Phone
- (478) 987-1610
- Fax
- (973) 965-4580
- NPI assigned
- Dec 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET001497 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET001497 | GA | Yes |
Addresses
Primary practice location
902 Northside Dr
Perry, GA 31069-3344
Mailing address
902 Northside Dr
Perry, GA 31069-3344
Phone (478) 987-1610
Other providers in Perry, GA
- Hayden Burch
- Nakesha S Smith Burch
- Stephanie Christin Burch
- Maebell Burchette
- Brandon Burleigh
- Eboni Sherell Calhoun
- Juanita Campbell
- Kayde Campbell
- Capstone Medical Clinic LLC
- Careconnect Health, Inc.
All providers in Perry, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.