Courtney Williford Robertson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7828 Issued in MA

Practice address

130 Condor St
East Boston, MA 02128-1305

Phone

(617) 569-6560

NPI assigned

Jan 6, 2010

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

Other names 1

• Courtney Williford Costas Former name

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1619207149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BENNINGTON ST",
            "address_2": "#3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281153",
            "telephone_number": "617-418-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CONDOR ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281305",
            "telephone_number": "617-569-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "COURTNEY",
        "middle_name": "WILLIFORD",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COSTAS",
            "middle_name": "WILLIFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vicki A Rieder, M.D.
• Meghan Elizabeth Riedy
• Elyse Marie Riegel, CNP
• Jose David Rincon Salazar, LCSW
• Caitlin C Roberts, CNM
• Kathy Rodrigues
• Bryan Rodriguez
• Karen J.S. Rookwood, MSW
• Lauren Sabatino, CF-SLP
• Sabina Tavares

• Speech-Language Pathologist in East Boston, MA
• Providers in East Boston, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.