Provider Demographics
NPI:1508802299
Name:EATON, CORTNEY ANNE (MS, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:CORTNEY
Middle Name:ANNE
Last Name:EATON
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9824 54TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33708
Mailing Address - Country:US
Mailing Address - Phone:727-391-0917
Mailing Address - Fax:727-319-2781
Practice Address - Street 1:9824 54TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33708-3708
Practice Address - Country:US
Practice Address - Phone:727-391-0917
Practice Address - Fax:727-319-2781
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1249231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist