Healthcare Provider Details

I. General information

NPI: 1336587476
Provider Name (Legal Business Name): STEVEN DEARMOND CURTIN MA LLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10909 HANNAN RD
ROMULUS MI
48174-1383
US

IV. Provider business mailing address

10909 HANNAN RD
ROMULUS MI
48174-1383
US

V. Phone/Fax

Practice location:
  • Phone: 734-893-1000
  • Fax: 734-893-3141
Mailing address:
  • Phone: 734-893-1000
  • Fax: 734-893-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301013984
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: