Healthcare Provider Details

I. General information

NPI: 1902720147
Provider Name (Legal Business Name): COURTNEY HANSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY BOCKBRADER

II. Dates (important events)

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

III. Provider practice location address

2730 ALTON DARBY CREEK RD
HILLIARD OH
43026-9770
US

IV. Provider business mailing address

2730 ALTON DARBY CREEK RD
HILLIARD OH
43026-9770
US

V. Phone/Fax

Practice location:
  • Phone: 614-921-5000
  • Fax:
Mailing address:
  • Phone: 614-921-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: