Provider Demographics
NPI:1679145726
Name:MCVEIGH, COURTNEY (MA SLP-CCC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MCVEIGH
Suffix:
Gender:F
Credentials:MA SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 W RODNEY DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4223
Mailing Address - Country:US
Mailing Address - Phone:817-300-3929
Mailing Address - Fax:
Practice Address - Street 1:301 E 1ST ST
Practice Address - Street 2:
Practice Address - City:PORTAGEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63873-1605
Practice Address - Country:US
Practice Address - Phone:573-379-2833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist