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1205011400 NPI number — LYNNE K MCRAE PSY. D

NPI Number: 1205011400
Health Care Provider/Practitioner: LYNNE K MCRAE PSY. D

Information about “1205011400” NPI (LYNNE K MCRAE PSY. D) exists in 1205011400 in HTML format HTML  |  1205011400 in plain Text format TXT  |  1205011400 in PDF (Portable Document Format) PDF  |  1205011400 in an XML format XML  formats.

NPI Number : 1205011400 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205011400",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCRAE",
    "FirstName": "LYNNE",
    "MiddleName": "K",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY. D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1605 SUNNYSIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOVELAND",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80538-8661",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-504-6145",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1605 SUNNYSIDE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOVELAND",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80538-8661",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-504-6145",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/07/2008",
    "LastUpdateDate": "09/24/2025",
    "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": "0003917",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "5714120-2501",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PSY0003917",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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