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1275745531 NPI number — EILEEN FITZPATRICK PH.D

NPI Number: 1275745531
Health Care Provider/Practitioner: EILEEN FITZPATRICK PH.D

Information about “1275745531” NPI (EILEEN FITZPATRICK PH.D) exists in 1275745531 in HTML format HTML  |  1275745531 in plain Text format TXT  |  1275745531 in PDF (Portable Document Format) PDF  |  1275745531 in an XML format XML  formats.

NPI Number : 1275745531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275745531",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FITZPATRICK",
    "FirstName": "EILEEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DESALME",
    "OtherFirstName": "EILEEN",
    "OtherMiddleName": "FITZPATRICK",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "101 E OLNEY AVE",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "PHILA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19120-2421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "60 TOWNSHIP LINE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELKINS PARK",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19027-2220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-663-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2007",
    "LastUpdateDate": "11/29/2010",
    "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": "103G00000X",
        "TaxonomyName": "Clinical Neuropsychologist",
        "LicenseNumber": "PS007113L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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