Provider Demographics
NPI:1871684001
Name:SUSAN JORDAN MCCURDY, PH.D., INC., P.C.
Entity Type:Organization
Organization Name:SUSAN JORDAN MCCURDY, PH.D., INC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-579-3346
Mailing Address - Street 1:3750 W MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4657
Mailing Address - Country:US
Mailing Address - Phone:405-579-3346
Mailing Address - Fax:405-321-8577
Practice Address - Street 1:3750 W MAIN ST
Practice Address - Street 2:SUITE 114
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4657
Practice Address - Country:US
Practice Address - Phone:405-579-3346
Practice Address - Fax:405-321-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK735103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty