Provider Demographics
NPI:1699754432
Name:FITCH, COURTNEY (MS, LCGC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:FITCH
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:BURANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:317 SEXTON RD
Mailing Address - Street 2:
Mailing Address - City:WIND GAP
Mailing Address - State:PA
Mailing Address - Zip Code:18091-9625
Mailing Address - Country:US
Mailing Address - Phone:908-418-3670
Mailing Address - Fax:
Practice Address - Street 1:1250 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6224
Practice Address - Country:US
Practice Address - Phone:610-402-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000071170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS