Individual
DR. RENAE MARIE COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1531 E BRADFORD PKWY, SUITE 304, SPRINGFIELD, MO 65804-6566
(417) 888-0861
(417) 888-0857
Mailing address
1531 E BRADFORD PKWY, SUITE 304, SPRINGFIELD, MO 65804-6566
(417) 888-0861
(417) 888-0857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010032220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396020095
—
MO
Enumeration date
09/15/2010
Last updated
11/03/2011
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