Individual
COURTNEY LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4804 SINCLAIR DR, RALEIGH, NC 27616
(919) 302-6491
Mailing address
4804 SINCLAIR DR, RALEIGH, NC 27616-5450
(919) 302-6491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17030113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776G
BCBS
NC
05
—
720776G
—
NC
Enumeration date
06/03/2016
Last updated
06/27/2018
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