Organization
JOHN COURTNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C COURTNEY PSY.D., MP (OWNER)
(504) 208-9476
Entity
Organization
Contact information
Practice address
118 TERRA BELLA BLVD, SUITE 101, COVINGTON, LA 70433-8148
(504) 208-9476
Mailing address
118 TERRA BELLA BLVD, SUITE 101, COVINGTON, LA 70433-8148
(504) 208-9476
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MPAP
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004812
—
LA
Enumeration date
06/25/2014
Last updated
06/25/2014
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