Provider Demographics
NPI:1447530324
Name:HEBERLING, COURTNEY LYNN (MS-CCC-SLP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LYNN
Last Name:HEBERLING
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2331
Mailing Address - Country:US
Mailing Address - Phone:412-474-3566
Mailing Address - Fax:412-474-3575
Practice Address - Street 1:993 BRODHEAD ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-474-3566
Practice Address - Fax:412-474-3575
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASLP010542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist