Provider Demographics
NPI:1881938942
Name:CURTIN, BETH E C (MA)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:E C
Last Name:CURTIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:MONTE RIO
Mailing Address - State:CA
Mailing Address - Zip Code:95462-0519
Mailing Address - Country:US
Mailing Address - Phone:707-865-1200
Mailing Address - Fax:
Practice Address - Street 1:19375 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:MONTE RIO
Practice Address - State:CA
Practice Address - Zip Code:95462
Practice Address - Country:US
Practice Address - Phone:707-865-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy