Doctor Name: | MS. SUSAN R. CURTISS |
NPI Number: | 1265518641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 001184 |
Business Practice Address: | 90 New State Hwy Ste 6 Raynham, MA - 027675461 |
Business Phone Number: | 5088806868 |
Business Fax Number: | 5088806848 |
Mailing Address: | 151 Mystic Ave Ste 6, MEDFORD |
State: | MA |
Postal Code: | 021554632 |
Phone Number: | 7813961199 |
Fax Number: | 7813961439 |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |