Individual
MRS. COURTNEY PAULINE KOHARCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
302 N JOHNSON RD, MOORESVILLE, MOORESVILLE, IN 46158-5504
(317) 831-9033
Mailing address
2297 SOUTHWARD DR, GREENWOOD, GREENWOOD, IN 46143-3421
(574) 329-2310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004740A
IN
235Z00000X
Speech-Language Pathologist
46001737A
IN
Other
Enumeration date
07/29/2008
Last updated
07/30/2008
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