Healthcare Provider Details

I. General information

NPI: 1376775338
Provider Name (Legal Business Name): COURTNIE LEIGH CAIN PSYD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. COURTNIE LEIGH BARTON

II. Dates (important events)

Enumeration Date: 08/10/2009
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14310 E 42ND ST S
INDEPENDENCE MO
64055-7308
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 816-254-3652
  • Fax:
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2022036660
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1369
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: