Provider Demographics
NPI:1407444003
Name:CURRY, MICHAEL STUART (MDIV PHD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:STUART
Last Name:CURRY
Suffix:
Gender:M
Credentials:MDIV PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1295 STAFFORD DRIVE
Mailing Address - Street 2:LINX
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:304-922-8348
Mailing Address - Fax:681-282-5692
Practice Address - Street 1:1295 STAFFORD DRIVE
Practice Address - Street 2:LINX
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740
Practice Address - Country:US
Practice Address - Phone:304-922-8348
Practice Address - Fax:681-282-5692
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst