Provider Demographics
NPI:1982462321
Name:CHIARELLA, COURTNEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:CHIARELLA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2067
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-0206
Mailing Address - Country:US
Mailing Address - Phone:707-509-0299
Mailing Address - Fax:
Practice Address - Street 1:1051 BORRETTE LN
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-9702
Practice Address - Country:US
Practice Address - Phone:707-509-0299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY34845103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical