Courtney Lyn Dumouchelle, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Grand Haven, MI
NPI 1346815941 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1346815941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101007526 (MI)
- Practice address
- 627 Elliott Ave
Grand Haven, MI 49417-1040 - Phone
- (616) 447-7799
- Fax
- (616) 724-4117
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101007526 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech and Voice Solutions LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Theraplay, Inc. | Current |
Accepting new patients |
Locations
627 Elliott Ave
Grand Haven, MI 49417
Phone (231) 327-4252
2251 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 447-7799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101007526 | MI | Yes |
Addresses
Primary practice location
627 Elliott Ave
Grand Haven, MI 49417-1040
Mailing address
540 D Ave Apt 12
Grand Haven, MI 49417-1290
Phone (574) 333-9402
Other practice location 1
1651 E Nickerson Ave
Benton Harbor, MI 49022-2469
Phone (269) 876-5697
Other practice location 2
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone (616) 447-7799
Other practice location 3
540 D Ave Apt 12
Grand Haven, MI 49417-1290
Phone (574) 333-9402
Other names
- Courtney Lyn Martin
Other providers in Grand Haven, MI
- Douglas T. Johnson & Associates, Inc.
- Terrance L. Draeger
- Jeremy Drake
- Nancy McKeon Dubuc
- Hunter Bradley Dulaney
- Frank Young Duncan III
- Dunegrass Counseling
- Brittany Leigh Dykstra
- Susan E Eadelman
- Kelly Eaton-Kelley
All providers in Grand Haven, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. 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.