Provider Demographics
NPI:1043628480
Name:STELLMACH, COURTNEY (MA, R-DMT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:STELLMACH
Suffix:
Gender:F
Credentials:MA, R-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SPINDLE TREE LN
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2109
Mailing Address - Country:US
Mailing Address - Phone:978-270-8666
Mailing Address - Fax:
Practice Address - Street 1:23 SPINDLE TREE LN
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2109
Practice Address - Country:US
Practice Address - Phone:978-270-8666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health