Individual provider · NPI-1

Dr. Curtis Wood Branch, PhD

Psychologist, Clinical · Newark, NJ

NPI number1124122742
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124122742
Entity type
Individual (NPI-1)
Name
Dr. Curtis Wood Branch
Credential
PhD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical4046NJYes

Practice location

20 Washington Place
Room 329
Newark, NJ 07102-3174

Phone 973-645-3042 · Fax 973-622-4813

Mailing address

20 Washington Place
Room 329
Newark, NJ 07102-3174

Phone 973-645-3042 · Fax 973-622-4813

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