Provider Demographics
NPI:1326268855
Name:CURTIS, SHAULEE KAYE (MA)
Entity Type:Individual
Prefix:MRS
First Name:SHAULEE
Middle Name:KAYE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27310 S WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-2103
Mailing Address - Country:US
Mailing Address - Phone:708-235-0353
Mailing Address - Fax:
Practice Address - Street 1:45 S PARK BLVD STE 255
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-6282
Practice Address - Country:US
Practice Address - Phone:630-942-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health