Individual
GLENN CURTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, J. A. HALEY VAMC (116B), TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
23933 FOREST VIEW DR, LAND O LAKES, FL 34639-4849
(813) 996-6600
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4068
FL
103TR0400X
Rehabilitation Psychologist
PY4068
FL
Other
Enumeration date
07/14/2006
Last updated
07/12/2007
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