Provider Demographics
NPI:1972526382
Name:CURTS C. ROUANZOIN PH.D. & ASSOCIATES, INC A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:CURTS C. ROUANZOIN PH.D. & ASSOCIATES, INC A PSYCHOLOGICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-577-0400
Mailing Address - Street 1:101 S KRAEMER BLVD
Mailing Address - Street 2:SUITE110
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6105
Mailing Address - Country:US
Mailing Address - Phone:714-577-0400
Mailing Address - Fax:714-577-0408
Practice Address - Street 1:101 S KRAEMER BLVD
Practice Address - Street 2:SUITE110
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6105
Practice Address - Country:US
Practice Address - Phone:714-577-0400
Practice Address - Fax:714-577-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16658103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty