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Individual

COURTNEY TANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, SLP-CCC

Contact information

Practice address
3509 GRANBY ST STE B, NORFOLK, VA 23504-1312
(757) 423-8885
(757) 423-8886
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10408
NC
235Z00000X
Speech-Language Pathologist
Primary
2202010016
VA

Other

Enumeration date
07/02/2013
Last updated
07/13/2021
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