Provider Demographics
NPI:1689300980
Name:DUNCAN, COURTNEY (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8983 POMANDER WALK
Mailing Address - Street 2:PO BOX 140
Mailing Address - City:WESTFIELD CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:44251
Mailing Address - Country:US
Mailing Address - Phone:330-814-1182
Mailing Address - Fax:
Practice Address - Street 1:173 W MAIN ST
Practice Address - Street 2:
Practice Address - City:APPLE CREEK
Practice Address - State:OH
Practice Address - Zip Code:44606-9565
Practice Address - Country:US
Practice Address - Phone:330-698-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist