Individual
COURTNEY COOPER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
125 HERLONG AVE, ST MATTHEWS, SC 29135-1127
(803) 655-7310
Mailing address
125 HERLONG AVE, ST MATTHEWS, SC 29135-1127
(803) 655-7310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3385
SC
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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