Healthcare Provider Details

I. General information

NPI: 1467438317
Provider Name (Legal Business Name): RICHARD REED CURTIN JR. PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BELLIS CIR
CAMBRIDGE MA
02140-3207
US

IV. Provider business mailing address

11 BELLIS CIR
CAMBRIDGE MA
02140-3207
US

V. Phone/Fax

Practice location:
  • Phone: 617-491-5859
  • Fax: 617-864-2552
Mailing address:
  • Phone: 617-491-5859
  • Fax: 617-864-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number3935
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: