Courtney, Audrey S
Courtney, Audrey S is an individual health care provider with primary practice located at 2930 Heritage Pl Ne , Milledgeville GA 31061-7204. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Courtney, Audrey S can be contacted via phone (478) 363-7927.Contact Information
Primary practice address
2930 Heritage Pl Ne
Milledgeville GA 31061-7204
Phone: (478) 363-7927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1316198476 |
|---|---|
| LBN Legal business name | Courtney, Audrey S |
| Credentials | LICENSED PSYCHOLOGIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Jun 4th, 2021 - about 5 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 | 1316198476 | NPPES |
| Georgia | Other | PSY001784 | LICENSE NUMBER |
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