Individual
KOURTNEY L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6316 GAINSBOROUGH DR, RALEIGH, NC 27612-6615
(207) 323-1276
Mailing address
6316 GAINSBOROUGH DR, RALEIGH, NC 27612-6615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10836
NC
235Z00000X
Speech-Language Pathologist
Primary
30004579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10836
NORTH CAROLINA BOARD OF EXAMINERS SLP
NC
Enumeration date
04/17/2014
Last updated
06/24/2026
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