Provider Demographics
NPI:1003522418
Name:MCCURDY, TAMMI (PSYD, MA, MED, LPC)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:PSYD, MA, MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 471982
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80047-1982
Mailing Address - Country:US
Mailing Address - Phone:303-243-4223
Mailing Address - Fax:
Practice Address - Street 1:4142 MALAYA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8029
Practice Address - Country:US
Practice Address - Phone:303-243-4223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty