Boller, Courtney
Boller, Courtney is an sole proprietor health care provider with primary practice located at 839 21St St Se , Cedar Rapids IA 52403-2718. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Boller, Courtney can be contacted via phone (785) 210-6287.Contact Information
Primary practice address
839 21St St Se
Cedar Rapids IA 52403-2718
Phone: (785) 210-6287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 10076A | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 128393 | Iowa |
Profile Details
| NPI number | 1205202165 |
|---|---|
| LBN Legal business name | Boller, Courtney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2015 |
| Last updated | May 22nd, 2025 - about last year |
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 | 1205202165 | NPPES |
| North Carolina | MEDICAID | 1093949109 |
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