Provider Demographics
NPI:1932512670
Name:SINCLAIR, COURTNEY (BA SLP-A)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:BA SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 POST ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95113-2411
Mailing Address - Country:US
Mailing Address - Phone:408-484-1028
Mailing Address - Fax:
Practice Address - Street 1:25 POST ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-2411
Practice Address - Country:US
Practice Address - Phone:408-484-1028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26972355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant