Provider Demographics
NPI:1952960296
Name:HURT, COURTLYN STEVENS
Entity Type:Individual
Prefix:
First Name:COURTLYN
Middle Name:STEVENS
Last Name:HURT
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 1:3030 LEDGEBROOK CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6543
Mailing Address - Country:US
Mailing Address - Phone:270-779-1297
Mailing Address - Fax:
Practice Address - Street 1:3030 LEDGEBROOK CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6543
Practice Address - Country:US
Practice Address - Phone:270-779-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist