NPI Code Detail JSON Logo

1104976547 NPI number — DEBORAH KAY WEBB PH.D., LCSW-S, LPC,L

NPI Number: 1104976547
Health Care Provider/Practitioner: DEBORAH KAY WEBB PH.D., LCSW-S, LPC,L

Information about “1104976547” NPI (DEBORAH KAY WEBB PH.D., LCSW-S, LPC,L) exists in 1104976547 in HTML format HTML  |  1104976547 in plain Text format TXT  |  1104976547 in PDF (Portable Document Format) PDF  |  1104976547 in an XML format XML  formats.

NPI Number : 1104976547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104976547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEBB",
    "FirstName": "DEBORAH",
    "MiddleName": "KAY",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D., LCSW-S, LPC,L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEBB",
    "OtherFirstName": "DEBBIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHD., LCSW, LPC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2407 S. CONGRESS AVE.",
    "SecondLineMailingAddress": "STE E-730",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78704",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-799-9358",
    "MailingAddressFaxNumber": "737-255-9744",
    "FirstLinePracticeLocationAddress": "2409 LITTLE JOHN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78704-5616",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-799-9358",
    "PracticeLocationAddressFaxNumber": "737-255-9744",
    "EnumerationDate": "01/10/2007",
    "LastUpdateDate": "04/19/2023",
    "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": "10939",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "34467",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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