STEPHEN CURTIS


Address: 205 N College Ave, Suite 713, Bloomington, IN 47404-3950
Phone: 8123330344

STEPHEN CURTIS (NPI# 1265743165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265743165
Entity Type Individual
Full Name STEPHEN CURTIS
Credential PHD
Practice Address 205 N College Ave
Suite 713
Bloomington
IN 47404-3950
Practice Telephone 8123330344
Mailing Telephone 8123330344
Enumeration Date 2010-06-24
Last Update Date 2010-07-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 20040021A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN LICENSE NUMBER 20040021A 01

Other Providers STEPHEN CURTIS

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Office Location

Street Address 205 N COLLEGE AVE
SUITE 713
City BLOOMINGTON
State IN
Zip Code 47404-3950

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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Competitor

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City BLOOMINGTON
Zip Code 47404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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