Provider Demographics
NPI:1447440649
Name:MCCOURT ASSOCIATES, INC.
Entity type:Organization
Organization Name:MCCOURT ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:MA LP
Authorized Official - Phone:651-294-2340
Mailing Address - Street 1:311 RAMSEY ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2323
Mailing Address - Country:US
Mailing Address - Phone:651-294-2340
Mailing Address - Fax:651-294-2343
Practice Address - Street 1:311 RAMSEY ST
Practice Address - Street 2:SUITE 310
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2323
Practice Address - Country:US
Practice Address - Phone:651-294-2340
Practice Address - Fax:651-294-2343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 3883251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health