Provider Demographics
NPI:1649769449
Name:CURRIE, ROY ALEXANDER
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:ALEXANDER
Last Name:CURRIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 DEER PARK DR
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3198
Mailing Address - Country:US
Mailing Address - Phone:413-527-5180
Mailing Address - Fax:
Practice Address - Street 1:55 DEER PARK DR
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3198
Practice Address - Country:US
Practice Address - Phone:413-527-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2023-08-10
Deactivation Date:2018-09-05
Deactivation Code:
Reactivation Date:2021-12-11
Provider Licenses
StateLicense IDTaxonomies
MA3837103K00000X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist