Provider Demographics
NPI:1265815864
Name:CURSCHMAN, DOROTHEA
Entity Type:Individual
Prefix:
First Name:DOROTHEA
Middle Name:
Last Name:CURSCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 S BOULDER AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-5234
Mailing Address - Country:US
Mailing Address - Phone:918-585-1213
Mailing Address - Fax:
Practice Address - Street 1:1870 S BOULDER AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-5234
Practice Address - Country:US
Practice Address - Phone:918-585-1213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health