Individual
COURTNEY MAYTON WYNENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,CCC-SLP
Contact information
Practice address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
(229) 244-7030
Mailing address
3746 OLD VINE WAY, VALDOSTA, GA 31605-7958
(706) 399-3644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011261
GA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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