Courtney Marie Smith, M.S., SLP
Individual provider Active NPI Speech-Language Pathologist · Louisville, KS
NPI 1821219601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821219601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 07-020 (KY)
- Practice address
- 3222 Rolling Oak Blvd
Louisville, KS 40214 - Phone
- (502) 386-8509
- NPI assigned
- May 1, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-020 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07-020 | KY | Yes |
Addresses
Primary practice location
3222 Rolling Oak Blvd
Louisville, KS 40214
Mailing address
9212 Wooddale Drive
Louisville, KY 40272
Phone (502) 935-3794
Other providers in Louisville, KS
All providers in Louisville, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.