Individual
COURTNEY HEREFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
9400 N CENTRAL EXPY STE 306, DALLAS, TX 75231-5039
(972) 925-3700
Mailing address
9400 N CENTRAL EXPY STE 306, DALLAS, TX 75231-5039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120085901
—
TX
Enumeration date
09/21/2023
Last updated
09/21/2023
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