MEDICARE: COURTNEY RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	235Z00000X	Speech-Language Pathologist	SZ9321	FL

General Provider Information

NPI Number	:	1447873245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY RODRIGUEZ

Provider Business Mailing Address
First Line	:	1747 OLENTANGY RIVER RD # 1145
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1453
Country	:	US
Telephone Number	:	937-671-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 OLENTANGY RIVER RD # 1145
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1453
Country	:	US
Telephone Number	:	614-233-1559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2020
Last Update Date	:	02/17/2026

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Directions to “ COURTNEY RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

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