Provider Demographics
NPI:1285214320
Name:SNELL, COURTNYE MICHELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:COURTNYE
Middle Name:MICHELLE
Last Name:SNELL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:COURTNYE
Other - Middle Name:MICHELLE
Other - Last Name:NEICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:3119 ADELE CT
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1581
Mailing Address - Country:US
Mailing Address - Phone:918-688-0120
Mailing Address - Fax:
Practice Address - Street 1:2218 W 32ND ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3514
Practice Address - Country:US
Practice Address - Phone:918-688-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist