Provider Demographics
NPI:1811002447
Name:PITT, COURTNEY HARRIS (SLP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HARRIS
Last Name:PITT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SAINT PATRICK ST
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-3849
Mailing Address - Country:US
Mailing Address - Phone:252-904-6047
Mailing Address - Fax:
Practice Address - Street 1:800 SAINT PATRICK ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-3849
Practice Address - Country:US
Practice Address - Phone:252-904-6047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist