Doctor Name: | COURTNEY KIRKPATRICK |
NPI Number: | 1215346739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC, LPC |
License Number: | 007583 |
Business Practice Address: | 87 Lynwood Ave North Versailles, PA - 151371836 |
Business Phone Number: | 4123785502 |
Business Fax Number: | |
Mailing Address: | 87 Lynwood Ave, NORTH VERSAILLES |
State: | PA |
Postal Code: | 151371836 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 007583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |