Healthcare Provider Details

I. General information

NPI: 1093365736
Provider Name (Legal Business Name): WILLIAM CURCI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2019
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 VILLA LA JOLLA DR STE B223
LA JOLLA CA
92037-1715
US

IV. Provider business mailing address

8950 VILLA LA JOLLA DR STE B223
LA JOLLA CA
92037-1715
US

V. Phone/Fax

Practice location:
  • Phone: 760-213-9377
  • Fax:
Mailing address:
  • Phone: 760-213-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY31171
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY31171
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY31171
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY31171
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY31171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: