Provider Demographics
NPI:1730267733
Name:CURRY, SANDRA L (PHD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:L
Last Name:CURRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19429 SCOTTSDALE BLVD.
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-561-1061
Mailing Address - Fax:
Practice Address - Street 1:23210 CHAGRIN BLVD
Practice Address - Street 2:STE. 211
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5462
Practice Address - Country:US
Practice Address - Phone:216-595-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3788103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP12001Medicare ID - Type Unspecified