Provider Demographics
NPI:1720839988
Name:PAISLEY, COURTNEY A
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:PAISLEY
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 1:23192 SONG BIRD HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8686
Mailing Address - Country:US
Mailing Address - Phone:317-519-4476
Mailing Address - Fax:
Practice Address - Street 1:1120 DELAWARE ST STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2700
Practice Address - Country:US
Practice Address - Phone:720-856-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0006379103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent