Healthcare Provider Details

I. General information

NPI: 1104548767
Provider Name (Legal Business Name): ASHLEY CURRIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 CONDUIT RD
COLONIAL HEIGHTS VA
23834-2628
US

IV. Provider business mailing address

4325 MILSMITH RD
CHESTER VA
23831-4537
US

V. Phone/Fax

Practice location:
  • Phone: 804-678-9116
  • Fax:
Mailing address:
  • Phone: 804-678-9116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: