Healthcare Provider Details

I. General information

NPI: 1770774176
Provider Name (Legal Business Name): STEVEN ERIC CURTIS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11290 SUNRISE DR NE
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 Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY00002203
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberPSY-RXP0065
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: