Individual
JEAN CURTIS LOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
17 EAST CHOP DRIVE, OAK BLUFFS, MA 02557
(508) 627-0584
Mailing address
PO BOX 1113, OAK BLUFFS, MA 02557-1113
(508) 627-0584
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2459- PY PR
MA
103TC1900X
Counseling Psychologist
2459- PY PR
MA
103TC1900X
Counseling Psychologist
Primary
2459-PY PR
MA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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