Courtney Kline

Individual provider Active NPI Speech-Language Pathologist · Kane, PA

NPI 1689087249 · NPPES record last updated Jun 10, 2014

Key facts

NPI
1689087249
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL011732 (PA)
Practice address
100 High Point Dr
Kane, PA 16735-9704
Phone
(814) 837-6706
NPI assigned
Jun 10, 2014
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
SL011732PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011732 PA Yes

Addresses

Primary practice location

100 High Point Dr
Kane, PA 16735-9704

Mailing address

44302 Warner Rd
Titusville, PA 16354-4950

Other providers in Kane, PA

All providers in Kane, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.