Provider Demographics
NPI:1275059172
Name:HAYES, COURTNEY LYNNE
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LYNNE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 SAGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-6135
Mailing Address - Country:US
Mailing Address - Phone:901-652-5722
Mailing Address - Fax:
Practice Address - Street 1:519 SAGEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-6135
Practice Address - Country:US
Practice Address - Phone:901-652-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist