Alexandra L Degenhardt
Psychiatry & Neurology, Neurology in Rockport, ME. Individual provider (NPI-1).
NPI number1649378829
StatusActive
Last updated in NPPESJan 4, 2012
Details
- NPI
- 1649378829
- Entity type
- Individual (NPI-1)
- Name
- Alexandra L Degenhardt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jan 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 241309 | NY | Yes |
Practice location
4 Glen Cove DrSuite 102
Rockport, ME 04856-4235
Phone 207-593-5757 · Fax 207-593-5357
Mailing address
4 Glen Cove DrSuite 102
Rockport, ME 04856-4235
Phone 207-593-5757 · Fax 207-593-5357
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