Provider Demographics
NPI:1699081786
Name:MCCURDY, CECIL EMERY JR (MED)
Entity type:Individual
Prefix:MR
First Name:CECIL
Middle Name:EMERY
Last Name:MCCURDY
Suffix:JR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 S OLIE AVE
Mailing Address - Street 2:UNIT 5
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9359
Mailing Address - Country:US
Mailing Address - Phone:405-616-2442
Mailing Address - Fax:405-616-2443
Practice Address - Street 1:8801 S OLIE AVE
Practice Address - Street 2:UNIT 5
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9359
Practice Address - Country:US
Practice Address - Phone:405-616-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)