Provider Demographics
NPI:1881802577
Name:CURE, ANGELA LYNN (MA CCC-SLP, BCBA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:LYNN
Last Name:CURE
Suffix:
Gender:F
Credentials:MA CCC-SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 BUTLER PIKE # 205
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1202
Mailing Address - Country:US
Mailing Address - Phone:321-759-5745
Mailing Address - Fax:
Practice Address - Street 1:1950 BUTLER PIKE # 205
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1202
Practice Address - Country:US
Practice Address - Phone:321-759-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-04-1716103K00000X
TX103297235Z00000X
PASL009298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst