Basic Information
Provider Information
NPI: 1316089295
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURCIO
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 619 DELFT LN
Address2:  
City: HATBORO
State: PA
PostalCode: 190404503
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 200 CAMP HILL RD
Address2:  
City: FORT WASHINGTON
State: PA
PostalCode: 190342905
CountryCode: US
TelephoneNumber: 2156435400
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TB0200XPS008307LPAX Behavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
103TC2200XPS008307LPAX Behavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
103TM1800XPS008307LPAX Behavioral Health & Social Service ProvidersPsychologistMental Retardation & Developmental Disabilities

No ID Information.


Home