Provider Demographics
NPI:1801828926
Name:CURTIN, STEPHEN FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:CURTIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-6020
Mailing Address - Country:US
Mailing Address - Phone:530-626-3513
Mailing Address - Fax:
Practice Address - Street 1:1587 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-6020
Practice Address - Country:US
Practice Address - Phone:530-626-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9473103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical