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Individual

STEPHEN CURTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
205 N COLLEGE AVE, SUITE 713, BLOOMINGTON, IN 47404-3950
(812) 333-0344
Mailing address
4625 E INVERNESS WOODS RD, BLOOMINGTON, IN 47401-9192
(812) 327-0932

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20040021A
IN
103T00000X
Psychologist
Primary
20040021A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20040021A
LICENSE NUMBER
IN
Enumeration date
06/24/2010
Last updated
09/25/2024
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