MEDICARE: COURTLYN STEVENS HURT

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	:	1952960296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTLYN STEVENS HURT

Provider Business Mailing Address
First Line	:	3030 LEDGEBROOK CT
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-6543
Country	:	US
Telephone Number	:	270-779-1297
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 LEDGEBROOK CT
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-6543
Country	:	US
Telephone Number	:	270-779-1297
Fax Number	:

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	07/11/2022

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Directions to “ COURTLYN STEVENS HURT ” Practice Location

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