Individual
COURTNEY ADRIAN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S BLUE ISLAND AVE UNIT 1016, CHICAGO, IL 60608-3072
(703) 475-4309
Mailing address
1550 S BLUE ISLAND AVE UNIT 1016, CHICAGO, IL 60608-3072
(703) 475-4309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2368
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2011
Last updated
11/12/2015
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