Provider Demographics
NPI:1831404425
Name:LEFBERG, COURTNEY ANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ANNE
Last Name:LEFBERG
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 1:1145 LITTLE BRITAIN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-5979
Mailing Address - Country:US
Mailing Address - Phone:845-564-1855
Mailing Address - Fax:
Practice Address - Street 1:1145 LITTLE BRITAIN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5979
Practice Address - Country:US
Practice Address - Phone:845-564-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016174235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist