MEDICARE: THOMAS CURTIN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1895	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881674190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS CURTIN PHD

Provider Business Mailing Address
First Line	:	2004 N 12TH ST
Second Line	:	SUITE 47
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2982
Country	:	US
Telephone Number	:	970-241-6500
Fax Number	:	970-243-8835

Provider Business Practice Location Address
First Line	:	2004 N 12TH ST
Second Line	:	SUITE 47
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2982
Country	:	US
Telephone Number	:	970-241-6500
Fax Number	:	970-243-8835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	07/08/2007

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