Keeton, Courtney Pierce
Keeton, Courtney Pierce is an individual health care provider with primary practice located at 5022 Dorsey Hall Dr Suite 201, Ellicott City MD 21042-7829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keeton, Courtney Pierce can be contacted via phone (410) 800-7591.Contact Information
Primary practice address
5022 Dorsey Hall Dr Suite 201
Ellicott City MD 21042-7829
Phone: (410) 800-7591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 04311 | Maryland |
Profile Details
| NPI number | 1679763395 |
|---|---|
| LBN Legal business name | Keeton, Courtney Pierce |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jan 23rd, 2015 - about 11 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 | 1679763395 | NPPES |
| Maryland | MEDICAID | 016723100 |
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