Provider Demographics
NPI:1982195863
Name:HORNBEAK, COURTNEY DEJANAE (MA)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:DEJANAE
Last Name:HORNBEAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14536 N PENNSYLVANIA AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6129
Mailing Address - Country:US
Mailing Address - Phone:405-535-0831
Mailing Address - Fax:
Practice Address - Street 1:4130 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5209
Practice Address - Country:US
Practice Address - Phone:405-424-7711
Practice Address - Fax:405-425-0445
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health