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1154548246 NPI number — DEVONNA KAE JONSSON PSYD

NPI Number: 1154548246
Health Care Provider/Practitioner: DEVONNA KAE JONSSON PSYD

Information about “1154548246” NPI (DEVONNA KAE JONSSON PSYD) exists in 1154548246 in HTML format HTML  |  1154548246 in plain Text format TXT  |  1154548246 in PDF (Portable Document Format) PDF  |  1154548246 in an XML format XML  formats.

NPI Number : 1154548246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154548246",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONSSON",
    "FirstName": "DEVONNA",
    "MiddleName": "KAE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 655",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARLISLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17013-0655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-877-9090",
    "MailingAddressFaxNumber": "717-240-2844",
    "FirstLinePracticeLocationAddress": "1104 FERNWOOD AVE STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMP HILL",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17011-6902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-877-9090",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2007",
    "LastUpdateDate": "01/16/2021",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "PS009221L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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