Fitzgerald, Courtney Ferris
Fitzgerald, Courtney Ferris is an individual health care provider with primary practice located at 9343 Sportsman Club Rd Ne , Bainbridge Island WA 98110-3642. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fitzgerald, Courtney Ferris can be contacted via phone (206) 780-6520.Contact Information
Primary practice address
9343 Sportsman Club Rd Ne
Bainbridge Island WA 98110-3642
Phone: (206) 780-6520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP15986 | California |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL60886875 | Washington |
Profile Details
| NPI number | 1548801541 |
|---|---|
| LBN Legal business name | Fitzgerald, Courtney Ferris |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2019 |
| Last updated | Aug 18th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548801541 | NPPES |
| California | Other | SP15986 | CALIFORNIA STATE SLP, AUD, AND HEARING AID DISPERNSERS BOARD |
| California | Other | 560428E | CALIFORNIA STATE SLP, AUD, AND HEARING AID DISPERNSERS BOARD |
| California | Other | LL60886875 | CALIFORNIA STATE SLP, AUD, AND HEARING AID DISPERNSERS BOARD |
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