Provider Demographics
NPI:1477577195
Name:CURTIS, KATHERINE (PSYD, MA)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PSYD, MA
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1000 HART RD STE 205
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2675
Mailing Address - Country:US
Mailing Address - Phone:847-754-3838
Mailing Address - Fax:847-550-3708
Practice Address - Street 1:1000 HART RD STE 205
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2675
Practice Address - Country:US
Practice Address - Phone:847-754-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004939101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180004939OtherLICENSE