Healthcare Provider Details

I. General information

NPI: 1760960967
Provider Name (Legal Business Name): COURTNEY JAYNE LIGOR MCD CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. COURTNEY JAYNE BALDWIN

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 04/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 PLEASANT ST
CONCORD NH
03301-7504
US

IV. Provider business mailing address

3 MARLA CIR
TYNGSBORO MA
01879
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-6561
  • Fax:
Mailing address:
  • Phone: 978-888-3921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP77427
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: