Individual
DR. MARY LYNNE COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7404 CHAPEL HILL RD, RALEIGH, NC 27607-5043
(919) 415-0050
(919) 467-0979
Mailing address
PO BOX 162, CARY, NC 27512-0162
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2710
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000259
—
NC
Enumeration date
12/18/2005
Last updated
07/08/2007
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