Provider Demographics
NPI:1679468185
Name:BEEMAN, CURTIS
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:BEEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6328 AVENIDA LA COSTA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4104
Mailing Address - Country:US
Mailing Address - Phone:806-778-6713
Mailing Address - Fax:
Practice Address - Street 1:6328 AVENIDA LA COSTA NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4104
Practice Address - Country:US
Practice Address - Phone:806-778-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.011451103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical