Provider Demographics
NPI:1851756316
Name:CURREN, TWILA (PSYD)
Entity Type:Individual
Prefix:
First Name:TWILA
Middle Name:
Last Name:CURREN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:TWILA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:7415 LOMBARDY ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-7341
Mailing Address - Country:US
Mailing Address - Phone:561-429-2397
Mailing Address - Fax:
Practice Address - Street 1:345 JUPITER LAKES BLVD
Practice Address - Street 2:SUITE 302A
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7100
Practice Address - Country:US
Practice Address - Phone:561-429-2397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6109103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY 6109OtherPSYCHOLOGY LICENSE