Provider Demographics
NPI:1265212344
Name:RICE, COURTNEY DYAN (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DYAN
Last Name:RICE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2004
Mailing Address - Country:US
Mailing Address - Phone:814-516-0807
Mailing Address - Fax:
Practice Address - Street 1:1532 GARDEN DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2004
Practice Address - Country:US
Practice Address - Phone:814-516-0807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011994235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist