Provider Demographics
NPI:1164138269
Name:CHAMBERLIN, COURTNEY LYN
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LYN
Last Name:CHAMBERLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 PROVINE PL APT 1109
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-5815
Mailing Address - Country:US
Mailing Address - Phone:318-880-8769
Mailing Address - Fax:
Practice Address - Street 1:5445 PROVINE PL APT 1109
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-5815
Practice Address - Country:US
Practice Address - Phone:318-880-8769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program