Healthcare Provider Details

I. General information

NPI: 1417793852
Provider Name (Legal Business Name): LIFESPAN ASSESSMENT SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2024
Last Update Date: 07/04/2024
Certification Date: 07/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11290 SUNRISE DR NE STE B
BAINBRIDGE ISLAND WA
98110-1353
US

IV. Provider business mailing address

11290 SUNRISE DR NE STE B
BAINBRIDGE ISLAND WA
98110-1353
US

V. Phone/Fax

Practice location:
  • Phone: 206-780-7782
  • Fax: 206-780-1964
Mailing address:
  • Phone: 206-780-7782
  • Fax: 206-780-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEVEN ERIC CURTIS
Title or Position: PRESIDENT
Credential: PHD
Phone: 206-714-8905