Provider Demographics
NPI:1366234650
Name:FAULKNER, COURTNEY HOPE
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HOPE
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 WATERSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41017-9725
Mailing Address - Country:US
Mailing Address - Phone:859-653-4458
Mailing Address - Fax:
Practice Address - Street 1:1001 FORD CIR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2740
Practice Address - Country:US
Practice Address - Phone:513-831-2578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist