Provider Demographics
NPI:1063910305
Name:CURRAN, TIMOTHY WHALEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:WHALEN
Last Name:CURRAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5675
Mailing Address - Country:US
Mailing Address - Phone:770-875-6947
Mailing Address - Fax:
Practice Address - Street 1:102 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5675
Practice Address - Country:US
Practice Address - Phone:770-875-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAP000246103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist