Individual
MRS. COURTNEY LYNN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
12316 SAINT CLAIR DR, LOUISVILLE, KY 40243-1029
(502) 802-3622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3043
KY
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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