Provider Demographics
NPI:1518367499
Name:MINERD, COURTNEY M (PHD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:M
Last Name:MINERD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:M
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 HUMPHREY RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4571
Mailing Address - Country:US
Mailing Address - Phone:724-832-9093
Mailing Address - Fax:724-832-2249
Practice Address - Street 1:225 HUMPHREY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-832-9093
Practice Address - Fax:724-832-2249
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017655103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling