Provider Demographics
NPI:1467494476
Name:MCCURDY, SUSAN JORDAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:JORDAN
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 W MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4657
Mailing Address - Country:US
Mailing Address - Phone:405-579-3346
Mailing Address - Fax:405-321-8577
Practice Address - Street 1:3750 W MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4657
Practice Address - Country:US
Practice Address - Phone:405-579-3346
Practice Address - Fax:405-321-8577
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK735103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100840650BMedicaid
OK100840650BMedicaid