Provider Demographics
NPI:1861217648
Name:DUPLECION, KORTNI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KORTNI
Middle Name:
Last Name:DUPLECION
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 1:1409 S HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7842
Mailing Address - Country:US
Mailing Address - Phone:409-344-9089
Mailing Address - Fax:
Practice Address - Street 1:1409 S HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7842
Practice Address - Country:US
Practice Address - Phone:409-344-9089
Practice Address - Fax:346-646-3862
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist