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1245320514 NPI number — NANCY DAWN WETMORE M.A., LPC

NPI Number: 1245320514
Health Care Provider/Practitioner: NANCY DAWN WETMORE M.A., LPC

Information about “1245320514” NPI (NANCY DAWN WETMORE M.A., LPC) exists in 1245320514 in HTML format HTML  |  1245320514 in plain Text format TXT  |  1245320514 in PDF (Portable Document Format) PDF  |  1245320514 in an XML format XML  formats.

NPI Number : 1245320514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245320514",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WETMORE",
    "FirstName": "NANCY",
    "MiddleName": "DAWN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A., LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BASILE",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "DAWN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A. LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1401 NEW RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08221-1121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-415-5296",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1401 NEW RD. - 2ND FLOOR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08221",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-415-5296",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2006",
    "LastUpdateDate": "02/22/2024",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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