Provider Demographics
NPI:1679774020
Name:CURWIN, LISA BARBAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:BARBAN
Last Name:CURWIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:BARBAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16220 S FREDERICK AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4039
Mailing Address - Country:US
Mailing Address - Phone:301-840-1077
Mailing Address - Fax:301-948-6199
Practice Address - Street 1:16220 S FREDERICK AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4039
Practice Address - Country:US
Practice Address - Phone:301-840-1077
Practice Address - Fax:301-948-6199
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3043103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491295Medicare ID - Type Unspecified