Individual
COURTNEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8875 OAK GROVE RD, FORT WORTH, TX 76140-5135
(737) 867-0498
Mailing address
224 LINCOLN LN, CROWLEY, TX 76036-4016
(512) 797-3438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107228
TX
235Z00000X
Speech-Language Pathologist
272136
MS
235Z00000X
Speech-Language Pathologist
SP 24547
CA
Other
Enumeration date
08/26/2016
Last updated
10/21/2022
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