Individual
COURTNEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
907 S MAIN ST, LILLINGTON, NC 27546-5839
(910) 814-1560
Mailing address
3912 SARASOTA DR, FAYETTEVILLE, NC 28311-2172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9499
NORTH CAROLINA BOARD OF EXAMINERS- SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
NC
Enumeration date
03/13/2018
Last updated
03/13/2018
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