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1053645689 NPI number — TRICIA LEE PELC LPC, NCC

NPI Number: 1053645689
Health Care Provider/Practitioner: TRICIA LEE PELC LPC, NCC

Information about “1053645689” NPI (TRICIA LEE PELC LPC, NCC) exists in 1053645689 in HTML format HTML  |  1053645689 in plain Text format TXT  |  1053645689 in PDF (Portable Document Format) PDF  |  1053645689 in an XML format XML  formats.

NPI Number : 1053645689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053645689",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PELC",
    "FirstName": "TRICIA",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HURTA",
    "OtherFirstName": "TRICIA",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2500 PALERMO DR STE 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ERIE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16506-7206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-449-9469",
    "MailingAddressFaxNumber": "814-381-2215",
    "FirstLinePracticeLocationAddress": "2500 PALERMO DR STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ERIE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16506-7206",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-449-9469",
    "PracticeLocationAddressFaxNumber": "814-381-2215",
    "EnumerationDate": "09/29/2009",
    "LastUpdateDate": "12/07/2021",
    "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": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "0701004650",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "PC004846",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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