Provider Demographics
NPI:1598117681
Name:JUNKINS, COURTNEY CRAIG (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:CRAIG
Last Name:JUNKINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:LEIGH
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1307 N 45TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6741
Mailing Address - Country:US
Mailing Address - Phone:206-289-0231
Mailing Address - Fax:206-792-7887
Practice Address - Street 1:1307 N 45TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6741
Practice Address - Country:US
Practice Address - Phone:206-289-0231
Practice Address - Fax:206-792-7887
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60638875103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent