Provider Demographics
NPI:1346904695
Name:BARNES, COURTNEY THOMAS (CRT THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:THOMAS
Last Name:BARNES
Suffix:
Gender:F
Credentials:CRT THERAPIST
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRT THERAPIST
Mailing Address - Street 1:715 ROCKY GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2740
Mailing Address - Country:US
Mailing Address - Phone:412-297-9240
Mailing Address - Fax:
Practice Address - Street 1:715 ROCKY GROVE AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2740
Practice Address - Country:US
Practice Address - Phone:412-297-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-23
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X, 390200000X
PA000000000000000000002081P0301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine