Healthcare Provider Details

I. General information

NPI: 1932279643
Provider Name (Legal Business Name): ELIZABETH CAROLINE CURLIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 N MARTIN AVE
MUNCIE IN
47303-3537
US

IV. Provider business mailing address

526 N MARTIN AVE
MUNCIE IN
47303-3537
US

V. Phone/Fax

Practice location:
  • Phone: 765-287-1922
  • Fax:
Mailing address:
  • Phone: 765-287-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number20040818
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: