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1760960967 NPI number — COURTNEY JAYNE LIGOR MCD CCC SLP

NPI Number: 1760960967
Health Care Provider/Practitioner: COURTNEY JAYNE LIGOR MCD CCC SLP

Information about “1760960967” NPI (COURTNEY JAYNE LIGOR MCD CCC SLP) exists in 1760960967 in HTML format HTML  |  1760960967 in plain Text format TXT  |  1760960967 in PDF (Portable Document Format) PDF  |  1760960967 in an XML format XML  formats.

NPI Number : 1760960967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760960967",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIGOR",
    "FirstName": "COURTNEY",
    "MiddleName": "JAYNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MCD CCC SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BALDWIN",
    "OtherFirstName": "COURTNEY",
    "OtherMiddleName": "JAYNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3 MARLA CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TYNGSBORO",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01879",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-888-3921",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "239 PLEASANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONCORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03301-7504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-224-6561",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2018",
    "LastUpdateDate": "04/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SLP77427",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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