Provider Demographics
NPI:1548205297
Name:CURTIS, NATHAN H (MA CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:H
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SWAN LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-7027
Mailing Address - Country:US
Mailing Address - Phone:207-338-3585
Mailing Address - Fax:207-338-3585
Practice Address - Street 1:91 SWAN LAKE AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7027
Practice Address - Country:US
Practice Address - Phone:207-338-3585
Practice Address - Fax:207-338-3585
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP310235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1042414OtherAETNA
ME011063OtherANTHEM