Provider Demographics
NPI:1073236436
Name:ROOKER, COURTNEY KELM (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:KELM
Last Name:ROOKER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BRITTANY PARK DR APT 405
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4759
Mailing Address - Country:US
Mailing Address - Phone:269-769-8045
Mailing Address - Fax:
Practice Address - Street 1:7146 NOLENSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9616
Practice Address - Country:US
Practice Address - Phone:615-283-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7651235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist