Provider Demographics
NPI:1982777934
Name:COURTRIGHT, JEANNE WASHCO (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:WASHCO
Last Name:COURTRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SIMON ST STE 5
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3046
Mailing Address - Country:US
Mailing Address - Phone:708-601-2804
Mailing Address - Fax:603-882-9666
Practice Address - Street 1:39 SIMON ST STE 5
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:708-601-2804
Practice Address - Fax:603-882-9666
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006166103TC0700X
NH1222103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical