DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COURTNEY NICOLE TATE CCC-SLP

MEDICARE: COURTNEY NICOLE TATE CCC-SLP
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
1235Z00000XSpeech-Language Pathologist2202009321VA
2235Z00000XSpeech-Language Pathologist146.014719IL

General Provider Information

NPI Number : 1265083851
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY NICOLE TATE CCC-SLP
Provider Business Mailing Address
First Line : 1111 ARMY NAVY DR APT 1103
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2041
Country : US
Telephone Number : 630-777-0472
Fax Number :
Provider Business Practice Location Address
First Line : 19465 DEERFIELD AVE STE 201
Second Line :
City : LANSDOWNE
State : VA
Zip : 20176-1703
Country : US
Telephone Number : 703-858-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 09/25/2019

Similar Medicare Providers

1013964600 — DR. REBECCA MEASELL OWENS PHD, CCC-A
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 703-858-7620
Practice Fax: 703-858-7657
1093852386 — MS. ELISABETH ANN GRAHAM M.S., CCC-SLP
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 703-858-7620
Practice Fax:
1013149210 — SARAH RENEE SPICER OTR/L
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 703-858-7620
Practice Fax:
1154877462 — BARBARA WINTHROP OTR/L
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 703-858-7620
Practice Fax:
1891325189 — WHITNEY MISLOCK CCC-SLP
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 703-858-7620
Practice Fax:
1528690187 — VICTORIA MARIE DUTTERER CCC-SLP
Practice Location Address:
19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703
Practice Phone: 702-858-7620
Practice Fax:

Directions to “ COURTNEY NICOLE TATE CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.