Provider Demographics
NPI:1467438317
Name:CURTIN, RICHARD REED JR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:REED
Last Name:CURTIN
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BELLIS CIR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-3207
Mailing Address - Country:US
Mailing Address - Phone:617-491-5859
Mailing Address - Fax:617-864-2552
Practice Address - Street 1:11 BELLIS CIR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-3207
Practice Address - Country:US
Practice Address - Phone:617-491-5859
Practice Address - Fax:617-864-2552
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3935103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Provider Identifiers
StateIdentifier IDID TypeIssuer
013706OtherVALUE OPTIONS
732115OtherTUFTS HEALTH PLAN
013706OtherVALUE OPTIONS