NPI Code Detail JSON Logo

1114310117 NPI number — DANA LEIGH ANDERSON PH.D

NPI Number: 1114310117
Health Care Provider/Practitioner: DANA LEIGH ANDERSON PH.D

Information about “1114310117” NPI (DANA LEIGH ANDERSON PH.D) exists in 1114310117 in HTML format HTML  |  1114310117 in plain Text format TXT  |  1114310117 in PDF (Portable Document Format) PDF  |  1114310117 in an XML format XML  formats.

NPI Number : 1114310117 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114310117",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "DANA",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMIDT",
    "OtherFirstName": "DANA",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7047 E GREENWAY PKWY",
    "SecondLineMailingAddress": "SUITE 250",
    "MailingAddressCityName": "SCOTTSDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85254-8107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7047 E GREENWAY PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 250",
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85254-8107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-659-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/15/2015",
    "LastUpdateDate": "06/23/2015",
    "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": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "4904",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "021009",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.