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1023543527 NPI number — STEPHEN DANIEL SPRINKLE PH.D.

NPI Number: 1023543527
Health Care Provider/Practitioner: STEPHEN DANIEL SPRINKLE PH.D.

Information about “1023543527” NPI (STEPHEN DANIEL SPRINKLE PH.D.) exists in 1023543527 in HTML format HTML  |  1023543527 in plain Text format TXT  |  1023543527 in PDF (Portable Document Format) PDF  |  1023543527 in an XML format XML  formats.

NPI Number : 1023543527 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023543527",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPRINKLE",
    "FirstName": "STEPHEN",
    "MiddleName": "DANIEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SPRINKLE",
    "OtherFirstName": "STEVE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "12468 CARMEL POINTE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92130-2268",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-349-6576",
    "MailingAddressFaxNumber": "858-777-9609",
    "FirstLinePracticeLocationAddress": "3252 HOLIDAY CT STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA JOLLA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92037-1808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-349-6576",
    "PracticeLocationAddressFaxNumber": "858-777-9609",
    "EnumerationDate": "04/22/2017",
    "LastUpdateDate": "05/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY 21849",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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