Individual
MS. COURTNEY ELIZABETH COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D. CCC-SLP
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
Mailing address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6453
LA
Other
Enumeration date
01/31/2012
Last updated
06/23/2014
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