| Courtney Ford, Llc | |
|
5900 Portage Rd Portage MI 49002-1774 | |
| (269) 806-9679 | |
| Not Available |
| Full Name | Courtney Ford, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5900 Portage Rd, Portage, Michigan |
| Authorized Official Name and Position | Courtney Ford (OWNER) |
| Authorized Official Contact | 2698069679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Ford, Llc 5900 Portage Rd Portage MI 49002-1774 Ph: (269) 806-9679 | Courtney Ford, Llc 5900 Portage Rd Portage MI 49002-1774 Ph: (269) 806-9679 |
| NPI Number | 1912686072 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912686072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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