Provider Demographics
NPI:1760726632
Name:CURRA, KATIE (MS)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:CURRA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E PUTNAM AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2734
Mailing Address - Country:US
Mailing Address - Phone:203-433-8050
Mailing Address - Fax:203-433-8026
Practice Address - Street 1:203 E PUTNAM AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2734
Practice Address - Country:US
Practice Address - Phone:203-433-8050
Practice Address - Fax:203-433-8026
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist