Healthcare Provider Details

I. General information

NPI: 1760215263
Provider Name (Legal Business Name): WILLIAM CURCI PSYCHOLOGY, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
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 Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM CURCI
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 760-213-9377