Provider Demographics
NPI:1770774176
Name:CURTIS, STEVEN ERIC (PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ERIC
Last Name:CURTIS
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 1:11290 SUNRISE DR NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1353
Mailing Address - Country:US
Mailing Address - Phone:206-780-7782
Mailing Address - Fax:206-780-1964
Practice Address - Street 1:11290 SUNRISE DR NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1353
Practice Address - Country:US
Practice Address - Phone:206-780-7782
Practice Address - Fax:206-780-1964
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002203103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent