| Doctor Name: | COURTNEY ANN KYLE |
| NPI Number: | 1225373913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 214 E Main St Room 130 Pickens, SC - 296712832 |
| Business Phone Number: | 8648787560 |
| Business Fax Number: | |
| Mailing Address: | 134 Kellett Park Dr, GREENVILLE |
| State: | SC |
| Postal Code: | 296073764 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |