Provider Demographics
NPI:1134915333
Name:SMITH, COURTNEY HAMMONS
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:HAMMONS
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 VINEYARD BLVD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-4224
Mailing Address - Country:US
Mailing Address - Phone:317-616-8481
Mailing Address - Fax:317-616-8481
Practice Address - Street 1:405 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-4269
Practice Address - Country:US
Practice Address - Phone:706-278-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007847235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist