Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 37538 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301014400 | MI |
NPI | 1003065483 |
---|---|
Provider Name | Dr. Cortney B Wolfe-Christensen |
First Address | Fort Worth, TX 76199-0213 |
Second Address | Fort Worth, TX 76104-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 14/04/2021 |