Individual
MRS. AUDREY S COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
2930 HERITAGE PL NE, MILLEDGEVILLE, GA 31061-7204
(478) 363-7927
Mailing address
174 MARSHALL RD NE, MILLEDGEVILLE, GA 31061-9322
(478) 363-7927
(478) 454-0121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY001784
LICENSE NUMBER
GA
Enumeration date
10/08/2008
Last updated
06/04/2021
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