Provider Demographics
NPI:1730362559
Name:STANTON, COURTNEY LYNNE
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LYNNE
Last Name:STANTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2407
Mailing Address - Country:US
Mailing Address - Phone:508-226-6035
Mailing Address - Fax:
Practice Address - Street 1:103 HART ST
Practice Address - Street 2:APT. 5-108
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3610
Practice Address - Country:US
Practice Address - Phone:774-766-2541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-15
Last Update Date:2007-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist