Provider Demographics
NPI:1326471186
Name:DEGENHART, CURT JAMES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:JAMES
Last Name:DEGENHART
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2204
Mailing Address - Country:US
Mailing Address - Phone:617-331-0669
Mailing Address - Fax:
Practice Address - Street 1:614 HAMMOND ST STE 2
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2161
Practice Address - Country:US
Practice Address - Phone:617-861-9822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10779103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical