Individual provider Active NPI

Courtney Lynn Heberling, MS.-CCC-SLP

  • Speech-Language Pathologist
  • Moon Township, PA
National Provider Identifier
1447530324
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010542 Issued in PA
Practice address
993 Brodhead Road
Suite 203
Moon Township, PA 15108
Phone
(412) 474-3566
Fax
(412) 474-3575
NPI assigned
Aug 23, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010542 PA Primary

Addresses

Primary practice location

993 Brodhead Road
Suite 203
Moon Township, PA 15108

Mailing address

993 Brodhead Rd
Moon Township, PA 15108-2331
Phone (412) 474-3566

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP010542PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1447530324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082331",
            "telephone_number": "412-474-3566",
            "fax_number": "412-474-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD ROAD",
            "address_2": "SUITE 203",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-474-3566",
            "fax_number": "412-474-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERLING",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "MS.-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLP010542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.