Individual
MRS. COURTNEY NICOLE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
316 ROCKY HILL ROAD, LOUISVILLE, MS 39339
(662) 803-5250
Mailing address
316 ROCKY HILL ROAD, LOUISVILLE, MS 39339
(662) 803-5250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3475
MS
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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