Provider Demographics
NPI:1710410162
Name:RAU, COURTNEY ROBERT (LLBSW)
Entity Type:Individual
Prefix:MR
First Name:COURTNEY
Middle Name:ROBERT
Last Name:RAU
Suffix:
Gender:M
Credentials:LLBSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3727 WILDER RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2367
Mailing Address - Country:US
Mailing Address - Phone:989-860-1425
Mailing Address - Fax:989-797-3522
Practice Address - Street 1:500 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4224
Practice Address - Country:US
Practice Address - Phone:989-797-3589
Practice Address - Fax:989-797-3522
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician