Provider Demographics
NPI:1457670390
Name:CAYLOR, COURTNEY LYNN (SLP)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:LYNN
Last Name:CAYLOR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:216 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1249
Mailing Address - Country:US
Mailing Address - Phone:814-939-9083
Mailing Address - Fax:
Practice Address - Street 1:835 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3629
Practice Address - Country:US
Practice Address - Phone:724-357-7152
Practice Address - Fax:724-357-6984
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist