MEDICARE: COURTNEY HARRIS PITT 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1811002447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY HARRIS PITT SLP

Provider Business Mailing Address
First Line	:	800 SAINT PATRICK ST
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-3849
Country	:	US
Telephone Number	:	252-904-6047
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SAINT PATRICK ST
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-3849
Country	:	US
Telephone Number	:	252-904-6047
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	09/10/2013

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Directions to “ COURTNEY HARRIS PITT SLP” Practice Location

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