NPI Code Detail JSON Logo

1114438371 NPI number — DAWN CRUGNALE EBNER LMFT

NPI Number: 1114438371
Health Care Provider/Practitioner: DAWN CRUGNALE EBNER LMFT

Information about “1114438371” NPI (DAWN CRUGNALE EBNER LMFT) exists in 1114438371 in HTML format HTML  |  1114438371 in plain Text format TXT  |  1114438371 in PDF (Portable Document Format) PDF  |  1114438371 in an XML format XML  formats.

NPI Number : 1114438371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114438371",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EBNER",
    "FirstName": "DAWN",
    "MiddleName": "CRUGNALE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "455 VIA DE LA LUZ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWBURY PARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91320-6929",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-368-5397",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11239 TAMPA AVE STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTHRIDGE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91326-3781",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-273-1820",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/16/2017",
    "LastUpdateDate": "10/09/2020",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "121359",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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