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1023578119 NPI number — PAMELA HERRICK LGMFT

NPI Number: 1023578119
Health Care Provider/Practitioner: PAMELA HERRICK LGMFT

Information about “1023578119” NPI (PAMELA HERRICK LGMFT) exists in 1023578119 in HTML format HTML  |  1023578119 in plain Text format TXT  |  1023578119 in PDF (Portable Document Format) PDF  |  1023578119 in an XML format XML  formats.

NPI Number : 1023578119 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023578119",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERRICK",
    "FirstName": "PAMELA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LGMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8423 DONNYBROOK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHEVY CHASE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20815-3881",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-641-7100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8120 WOODMONT AVE STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20814-2784",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-600-0968",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2019",
    "LastUpdateDate": "03/23/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "LGM686",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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