Doctor Name: | TODD LEE CURTIS |
NPI Number: | 1023355526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PC |
License Number: | C.1200606 |
Business Practice Address: | 2285 Benden Dr Wooster, OH - 446912568 |
Business Phone Number: | 3302649029 |
Business Fax Number: | 3302637251 |
Mailing Address: | 354 Gatewood Dr, Apt 8 MANSFIELD |
State: | OH |
Postal Code: | 449072345 |
Phone Number: | 5672415196 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2013 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C.1200606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |