Courtney, Mary Lynne
Courtney, Mary Lynne is an sole proprietor health care provider with primary practice located at 7404 Chapel Hill Rd , Raleigh NC 27607-5043. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Courtney, Mary Lynne can be contacted via phone (919) 415-0050.Contact Information
Primary practice address
7404 Chapel Hill Rd
Raleigh NC 27607-5043
Phone: (919) 415-0050
Fax: (919) 467-0979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2710 | North Carolina |
Profile Details
| NPI number | 1386620714 |
|---|---|
| LBN Legal business name | Courtney, Mary Lynne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386620714 | NPPES |
| North Carolina | MEDICAID | 6000259 |
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