Provider Demographics
NPI:1194029454
Name:DEAN, CURTIS LAWRENCE (MS/CCC-SP)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:LAWRENCE
Last Name:DEAN
Suffix:
Gender:M
Credentials:MS/CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 POCA RIVER RD S
Mailing Address - Street 2:
Mailing Address - City:POCA
Mailing Address - State:WV
Mailing Address - Zip Code:25159-8947
Mailing Address - Country:US
Mailing Address - Phone:304-776-2575
Mailing Address - Fax:
Practice Address - Street 1:1 SUTPHIN DR
Practice Address - Street 2:MARMET HEALTH CARE
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25315-1977
Practice Address - Country:US
Practice Address - Phone:304-949-1890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-0151235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist