Individual
COURTNEY ELIZABETH LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 S 600 W, ROSSVILLE, IN 46065-9050
(309) 202-4770
Mailing address
5939 S 600 W, ROSSVILLE, IN 46065-9050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29002068A
IN
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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