Courtney K Cusack is a Clinical in Annapolis, Maryland. Courtney K Cusack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Courtney K Cusack is 1295982122. The last update date is 2023-05-18.
Courtney K Cusack's current location address is 1819 Bay Ridge Ave Ste 190, Annapolis, Maryland. You can contact this provider via phone number 4432819430. The mailing address for Courtney K Cusack is 1819 Bay Ridge Ave Ste 190, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney K Cusack |
|---|---|
| Address | 1819 Bay Ridge Ave Ste 190, Annapolis, Maryland |
| Phone Number | 4432819430 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1295982122 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2023-05-18 |
Provider Mailing Address Detail
| Address | 1819 Bay Ridge Ave Ste 190 |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214032834 |
| Phone Number | 4432819430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5241 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Courtney K Cusack's 1295982122?
The Courtney K Cusack's NPI (National Provider Identifier) Number is 1295982122. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Courtney K Cusack?
The Courtney K Cusack is physically situated at 1819 Bay Ridge Ave Ste 190, in the city of Annapolis, state of MD, with the postal code 214032834.
What is the Courtney K Cusack's area of specialization and corresponding taxonomy classification?
The Courtney K Cusack's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1295982122 to Courtney K Cusack?
The Centers for Medicare & Medicaid Services assigned the 1295982122 to Courtney K Cusack on 2008-08-21.
When was the Courtney K Cusack's information last updated?
The Courtney K Cusack's information was last updated on 2023-05-18.
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