Individual
MRS. COURTNEY FERRIS FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9343 SPORTSMAN CLUB RD NE, BAINBRIDGE ISLAND, WA 98110-3642
(206) 780-6520
Mailing address
14464 KOMEDAL RD NE, BAINBRIDGE ISLAND, WA 98110-1021
(951) 333-2801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60886875
WA
235Z00000X
Speech-Language Pathologist
SP15986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560428E
STATE OF WA OSPI
WA
01
—
LL60886875
WA DEPT OF HEALTH
WA
01
—
SP15986
CALIFORNIA STATE SLP, AUD, AND HEARING AID DISPERNSERS BOARD
CA
Enumeration date
10/01/2019
Last updated
08/18/2020
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