Provider Demographics
NPI:1942026497
Name:HEFNER, CURT L
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:L
Last Name:HEFNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4885 HIGHLANDER LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8343
Mailing Address - Country:US
Mailing Address - Phone:937-244-0314
Mailing Address - Fax:937-390-6736
Practice Address - Street 1:4885 HIGHLANDER LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-8343
Practice Address - Country:US
Practice Address - Phone:937-244-0314
Practice Address - Fax:937-390-6736
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP505103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool