Provider Demographics
NPI:1285252965
Name:SINN, COURTNEY RENAE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RENAE
Last Name:SINN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 BECKMANN RD
Mailing Address - Street 2:
Mailing Address - City:LENZBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62255-1602
Mailing Address - Country:US
Mailing Address - Phone:618-738-0034
Mailing Address - Fax:618-769-9373
Practice Address - Street 1:2140 BECKMANN RD
Practice Address - Street 2:
Practice Address - City:LENZBURG
Practice Address - State:IL
Practice Address - Zip Code:62255-1602
Practice Address - Country:US
Practice Address - Phone:618-738-0034
Practice Address - Fax:618-769-9373
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.005881235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist