MEDICARE: JOHN JOSEPH CURRAN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	197	NE

General Provider Information

NPI Number	:	1760579650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JOSEPH CURRAN PH.D.

Provider Business Mailing Address
First Line	:	1306 N 13TH ST
Second Line	:	SUITE 100
City	:	NORFOLK
State	:	NE
Zip	:	68701-2591
Country	:	US
Telephone Number	:	402-649-1535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 N 13TH ST
Second Line	:	SUITE 100
City	:	NORFOLK
State	:	NE
Zip	:	68701-2591
Country	:	US
Telephone Number	:	402-649-1535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	12/07/2016

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