NPI 1467579334 COURTNEY SISTAK CCC-SLP GILBERT AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Courtney Sistak - NPI: 1467579334

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: COURTNEY SISTAK
NPI Number: 1467579334
Entity Type Code: Individual (1)
Gender: F
Credentials: CCC-SLP
License Number: SLP4767
Business Practice Address: 908 E Bridgeport Pkwy
Gilbert, AZ - 852956268
Business Phone Number: 4804529365
Business Fax Number:
Mailing Address: 908 E Bridgeport Pkwy,
GILBERT
State: AZ
Postal Code: 852956268
Phone Number: 4804529365
Fax Number:
NPI Enumeration Date: 03/23/2007
NPI Last Update Date: 07/24/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: SLP4767
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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