Individual
CORTNEY LYN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
2991 EMMA LN, MOUNT PLEASANT, SC 29466-7503
(856) 981-3882
Mailing address
2991 EMMA LN, MOUNT PLEASANT, SC 29466
(856) 981-3882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5482
SC
235Z00000X
Speech-Language Pathologist
SL008622
PA
Other
Enumeration date
10/16/2007
Last updated
12/12/2016
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