Individual
COURTNEY ELIZABETH IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6600A ROYAL ST, PLEASANT VALLEY, MO 64068-8702
(816) 337-0856
Mailing address
6600A ROYAL ST, PLEASANT VALLEY, MO 64068-8702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018022809
MO
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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