Provider Demographics
NPI:1285185884
Name:COURTNEY L. SAPPINGTON SPEECH LANGUAGE PATHOLOGIST AND HOLISTIC HEALTH
Entity Type:Organization
Organization Name:COURTNEY L. SAPPINGTON SPEECH LANGUAGE PATHOLOGIST AND HOLISTIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:SAPPINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP-CCC
Authorized Official - Phone:503-349-7284
Mailing Address - Street 1:12510 SE MT SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-6213
Mailing Address - Country:US
Mailing Address - Phone:503-349-7284
Mailing Address - Fax:
Practice Address - Street 1:12510 SE MT SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-6213
Practice Address - Country:US
Practice Address - Phone:503-349-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15134235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty