Provider Demographics
NPI:1447358676
Name:MCCURDY, ANGEL ELIZABETH (PSY D)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:ELIZABETH
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 S. GREEN ST.
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-2610
Mailing Address - Country:US
Mailing Address - Phone:717-832-0120
Mailing Address - Fax:717-832-0130
Practice Address - Street 1:11 S. GREEN ST.
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-2610
Practice Address - Country:US
Practice Address - Phone:717-832-0120
Practice Address - Fax:717-832-0130
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015209103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07812508Medicaid
PA07812508Medicaid