Courtney Jones

Individual provider Active NPI Speech-Language Pathologist · Odessa, DE

NPI 1326755877 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1326755877
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
O1-0012175 (DE)
Practice address
313 S 5TH St
Odessa, DE 19730-2078
Phone
(302) 378-5010
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
O1-0012175DEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X O1-0012175 DE Yes

Addresses

Primary practice location

313 S 5TH St
Odessa, DE 19730-2078

Mailing address

502 S Broad St
Middletown, DE 19709-1443

Other providers in Odessa, DE

All providers in Odessa, DE · Speech-Language Pathologist in Delaware

Sources for this page

Verify at the official NPI Registry.