Individual
DR. COURTNEY KEENE VISCOMI
Active
Individual
DR. COURTNEY KEENE VISCOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.010347
IL
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
30968
CA
Other
Enumeration date
10/01/2012
Last updated
12/27/2023
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