Dr. Courtenay Rourke Ainsworth, Ph.D.
Clinical Neuropsychologist in Chicago, IL. Individual provider (NPI-1).
NPI number1306109244
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1306109244
- Entity type
- Individual (NPI-1)
- Name
- Dr. Courtenay Rourke Ainsworth
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2012
- Last updated
- Jun 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071.008330 | IL | Yes |
Practice location
4726 N Winchester AveUnit B
Chicago, IL 60640-4372
Phone 708-609-7475
Mailing address
4726 N Winchester AveUnit B
Chicago, IL 60640-4372
Phone 708-609-7475
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