Provider Demographics
NPI:1629816194
Name:SHUEY, CORTNEE LEANN (MS, LPC)
Entity type:Individual
Prefix:
First Name:CORTNEE
Middle Name:LEANN
Last Name:SHUEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 452
Mailing Address - Street 2:107 WARD ALLEY
Mailing Address - City:PINE GROVE MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16868
Mailing Address - Country:US
Mailing Address - Phone:814-876-2713
Mailing Address - Fax:
Practice Address - Street 1:P.O. BOX 452
Practice Address - Street 2:107 WARD ALLEY
Practice Address - City:PINE GROVE MILLS
Practice Address - State:PA
Practice Address - Zip Code:16868
Practice Address - Country:US
Practice Address - Phone:814-876-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional