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NPI Code Detail

MEDICARE: MS. CATHERINE H COURNOYER LCSW

MEDICARE:  MS. CATHERINE H COURNOYER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34000115IN

General Provider Information

NPI Number : 1518151802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE H COURNOYER LCSW
Provider Business Mailing Address
First Line : 9011 N MERIDIAN ST STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2399
Country : US
Telephone Number : 317-848-5322
Fax Number : 317-259-7982
Provider Business Practice Location Address
First Line : 9011 N MERIDIAN ST STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2399
Country : US
Telephone Number : 317-848-5322
Fax Number : 317-259-7982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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Directions to “ MS. CATHERINE H COURNOYER LCSW” Practice Location

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