Individual
COURTNEY LOUISE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Mailing address
1800 W IRISH LN, KNOB NOSTER, MO 65336-1020
(660) 687-0187
(660) 687-0221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020013733
MO
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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