Provider Demographics
NPI:1962025734
Name:CURREN, VIVIAN (MS SLP)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:CURREN
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CASTLE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-3168
Mailing Address - Country:US
Mailing Address - Phone:207-751-7203
Mailing Address - Fax:
Practice Address - Street 1:42 BARROWS DR
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1326
Practice Address - Country:US
Practice Address - Phone:207-725-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEST3000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist