Provider Demographics
NPI:1821682030
Name:DAYTON, COURTNEY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:DAYTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 FLANDERS RD
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NY
Mailing Address - Zip Code:11901-3868
Mailing Address - Country:US
Mailing Address - Phone:631-704-8015
Mailing Address - Fax:
Practice Address - Street 1:650 HALLOCK AVE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-1256
Practice Address - Country:US
Practice Address - Phone:631-403-3318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-28
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist