Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1154658730 |
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| LBN Legal business name | ALISA COURTNEY PSYCHOTHERAPY | ||||
| Authorized official | ALISA COURTNEY - (PSYCHOTHERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/03/2009 | ||||
| Last updated | 11/03/2009 - About 17 years ago | ||||
| Identifiers |
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