Healthcare Provider Details

I. General information

NPI: 1497597751
Provider Name (Legal Business Name): CURA PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 OFFICE CLUB PT STE 141
COLORADO SPRINGS CO
80920-5013
US

IV. Provider business mailing address

1880 OFFICE CLUB PT STE 141
COLORADO SPRINGS CO
80920-5013
US

V. Phone/Fax

Practice location:
  • Phone: 719-428-0541
  • Fax:
Mailing address:
  • Phone: 719-428-0541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MY HAO PANTUSO
Title or Position: PHD
Credential:
Phone: 719-428-0541