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NPI Code Detail

MEDICARE: COURTNEY O'CONNOR

MEDICARE: COURTNEY O'CONNOR
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 PathologistSL005199PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477666873
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY O'CONNOR
Provider Business Mailing Address
First Line : 3240 WASHINGTON RD
Second Line : SUITE 200
City : MCMURRAY
State : PA
Zip : 15317-3180
Country : US
Telephone Number : 724-941-4434
Fax Number : 724-941-4714
Provider Business Practice Location Address
First Line : 3240 WASHINGTON RD
Second Line : SUITE 200
City : MCMURRAY
State : PA
Zip : 15317-3180
Country : US
Telephone Number : 724-941-4434
Fax Number : 724-941-4714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/09/2007

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Directions to “ COURTNEY O'CONNOR ” Practice Location

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