Provider Demographics
NPI:1760713291
Name:COURTRIGHT, DONNA ELAINE
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ELAINE
Last Name:COURTRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 TARA FALLS CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-6555
Mailing Address - Country:US
Mailing Address - Phone:316-733-6713
Mailing Address - Fax:
Practice Address - Street 1:1643 TARA FALLS CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-6555
Practice Address - Country:US
Practice Address - Phone:316-733-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health