Provider Demographics
NPI:1881424158
Name:STAUFFER, COURTNEY NICOLE (AUD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:NICOLE
Last Name:STAUFFER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:KMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203A BARKLEY MEMORIAL CENTER
Mailing Address - Street 2:4075 EAST CAMPUS LOOP S
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0731
Mailing Address - Country:US
Mailing Address - Phone:402-472-2071
Mailing Address - Fax:402-472-3814
Practice Address - Street 1:203A BARKLEY MEMORIAL CENTER
Practice Address - Street 2:4075 EAST CAMPUS LOOP S
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0731
Practice Address - Country:US
Practice Address - Phone:402-472-2071
Practice Address - Fax:402-472-8824
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE458231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist