National Provider Identifier

Courtney E. Shepard, M.A.CCC-SLP

Courtney E. Shepard, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 839-1655.

NPI 1417189952Amherst, NYSpeech-Language Pathologist

Profile Overview

NPI
1417189952
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 18, 2009
Last Updated
January 13, 2010

Practice Location

  • 25 Chateau Ter
  • Amherst, NY 14226-3927

Phone: (716) 839-1655

Mailing Address

  • 214 Norwalk Ave
  • Buffalo, NY 14216-2442

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1417189952
Entity Type
Individual
Last Name
Shepard
First Name
Courtney
Middle Name
E.
Credential
M.A.CCC-SLP
Mailing Street Address
214 Norwalk Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2442
Mailing Country
US
Mailing Phone
(716) 844-8952
Practice Street Address
25 Chateau Ter
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3927
Practice Country
US
Practice Phone
(716) 839-1655
Enumeration Date
August 18, 2009
Last Updated
January 13, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)