Provider Demographics
NPI:1730466301
Name:COURSEY, SHAYE LEA (MBA,RAS,FYO)
Entity Type:Individual
Prefix:MS
First Name:SHAYE
Middle Name:LEA
Last Name:COURSEY
Suffix:
Gender:F
Credentials:MBA,RAS,FYO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 MARKET ST STE E
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2212
Mailing Address - Country:US
Mailing Address - Phone:619-717-1944
Mailing Address - Fax:
Practice Address - Street 1:5275 MARKET ST STE E
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2212
Practice Address - Country:US
Practice Address - Phone:619-717-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator