Active NPIIndividual providerSole proprietor

Mrs. Courtney W Robertson, CCC-SLP

Speech-Language Pathologist, in East Boston, Massachusetts

NPI Number1619207149
Practice location
130 Condor St, East Boston, MA 02128-1305
Fax
—
Last updated
January 26, 2010

Courtney Williford Robertson is a Speech-Language Pathologist, based in East Boston, MA. Courtney Williford Robertson practices in East Boston, MA and has the professional credentials of CCC-SLP. The NPI Number for Courtney Williford Robertson is 1619207149 and holds a License No. 7828 (MA). The current practice location address for Courtney Williford Robertson is 130 Condor St, East Boston, MA 02128-1305 and can be reached out via phone at 617-569-6560.

Provider Profile Details

NPI Number
1619207149
Provider Name
Courtney Williford Robertson
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
130 Condor St, East Boston, MA 02128-1305
Phone Number
617-569-6560
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
-- Courtney Williford Costas (Former Name)
Provider Enumeration Date
January 6, 2010
Last Update Date
January 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Condor St
East Boston, MA 02128-1305
Zip
02128-1305
Phone Number
617-569-6560
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
709 Bennington St
#3
East Boston, MA 02128-1153
City
East Boston
State
MA
Zip
02128-1153
Phone Number
617-418-5606

License Information

License Number
7828
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Courtney W Robertson, CCC-SLP?

The NPI number of Mrs. Courtney W Robertson, CCC-SLP is 1619207149. It was assigned on January 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Courtney W Robertson, CCC-SLP?

Mrs. Courtney W Robertson, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 7828.

Where does Mrs. Courtney W Robertson, CCC-SLP practice?

The practice location is 130 Condor St, East Boston, MA 02128-1305. The office can be reached at 617-569-6560 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619207149 directly on the NPPES registry website.

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