Individual
COURTNEY MARIE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 41ST ST APT 5F, ASTORIA, NY 11103-3252
(585) 794-0753
Mailing address
2421 41ST ST APT 5F, ASTORIA, NY 11103-3252
(585) 794-0753
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1407278201
NY
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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