Courtney Mayton Wynens, M.ED,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011261 Issued in GA

Practice address

3354 Greystone Way
Valdosta, GA 31605-1096

Phone

(229) 244-3552

Fax

(229) 244-7030

NPI assigned

Feb 6, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1629774187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 OLD VINE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057958",
            "telephone_number": "706-399-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051096",
            "telephone_number": "229-244-3552",
            "fax_number": "229-244-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNENS",
        "first_name": "COURTNEY",
        "middle_name": "MAYTON",
        "credential": "M.ED,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacque Wright, BSPP
• Janice Monique Wright, PP
• John L Wright, M.D.
• Khrystal Wright, PP
• Wayne Cameron Wright, M.D.
• Eunice Yakubu, MD
• Courtney Yanagihara, OD
• Justin Michael Yancey, M.D.
• Ya Chien Yang
• Sara N Yarbrough, DO

• Speech-Language Pathologist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.