Provider Demographics
NPI:1528113891
Name:COURTNEY, MARGARET MARY (PSY D)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARY
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ALBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-5802
Mailing Address - Country:US
Mailing Address - Phone:732-670-6005
Mailing Address - Fax:
Practice Address - Street 1:415 STATE ROUTE 34 N
Practice Address - Street 2:SUITE 116
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1017
Practice Address - Country:US
Practice Address - Phone:732-780-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ073-762103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist