Provider Demographics
NPI:1295958551
Name:DEGENHART, JOSEPH J (LMFT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:DEGENHART
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-1401
Mailing Address - Country:US
Mailing Address - Phone:856-952-9198
Mailing Address - Fax:856-858-1190
Practice Address - Street 1:523 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1401
Practice Address - Country:US
Practice Address - Phone:856-952-9198
Practice Address - Fax:856-858-1190
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00155200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist