Individual
COURTNEY MARIE BOULNEMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
116 MERIDIAN WAY STE 8, RICHMOND, KY 40475-2876
(859) 353-8382
Mailing address
116 MERIDIAN WAY STE 8, RICHMOND, KY 40475-2876
(859) 353-8382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
279378
KY
235Z00000X
Speech-Language Pathologist
279507
KY
Other
Enumeration date
07/29/2022
Last updated
08/09/2022
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