Individual
MRS. COURTNEY MICHELLE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10413 JUNCTION PEAK DR, ROSHARON, TX 77583-3478
(832) 643-6360
Mailing address
10413 JUNCTION PEAK DR, ROSHARON, TX 77583-3478
(832) 643-6360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0657199-01
—
TX
01
—
1922137488
ALIEF ISD GROUP
TX
Enumeration date
04/11/2019
Last updated
05/27/2022
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