Provider Demographics
NPI:1265678809
Name:CURTIS, ALBERT B (PHD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:B
Last Name:CURTIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 MCKAY ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2568
Mailing Address - Country:US
Mailing Address - Phone:978-407-6715
Mailing Address - Fax:978-993-4680
Practice Address - Street 1:149 MCKAY ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2568
Practice Address - Country:US
Practice Address - Phone:978-407-6715
Practice Address - Fax:978-993-4680
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3129103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical