Healthcare Provider Details

I. General information

NPI: 1235521634
Provider Name (Legal Business Name): CURTIS CRIPE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40040 N 56TH ST
CAVE CREEK AZ
85331-8108
US

IV. Provider business mailing address

40040 N 56TH ST
CAVE CREEK AZ
85331-8108
US

V. Phone/Fax

Practice location:
  • Phone: 602-799-2051
  • Fax:
Mailing address:
  • Phone: 602-799-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: