Provider Demographics
NPI:1124138979
Name:CURTIS, JEANNE H (PSYD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:H
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5850 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0304
Mailing Address - Country:US
Mailing Address - Phone:817-924-2727
Mailing Address - Fax:817-625-3040
Practice Address - Street 1:5850 TOWN AND COUNTRY BLVD
Practice Address - Street 2:SUITE 1001
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0304
Practice Address - Country:US
Practice Address - Phone:817-924-2727
Practice Address - Fax:817-625-3040
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34845103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB138114Medicare UPIN