Healthcare Provider Details

I. General information

NPI: 1336802826
Provider Name (Legal Business Name): MEGAN E CURRY MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5755 COTTLE RD
SAN JOSE CA
95123-3640
US

IV. Provider business mailing address

5755 COTTLE RD BLDG 24
SAN JOSE CA
95123-3600
US

V. Phone/Fax

Practice location:
  • Phone: 408-723-2139
  • Fax:
Mailing address:
  • Phone: 408-972-3213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: