Provider Demographics
NPI:1265200968
Name:CHAMBERS, COURTNEY KIRK (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KIRK
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:RENEE
Other - Last Name:KIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27890 E 7TH PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1840
Mailing Address - Country:US
Mailing Address - Phone:423-364-8489
Mailing Address - Fax:
Practice Address - Street 1:9350 TEDDY LN
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2876
Practice Address - Country:US
Practice Address - Phone:303-387-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003579235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist