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1326603820 NPI number — ERIN MICHELLE PULLMAN LCSW

NPI Number: 1326603820
Health Care Provider/Practitioner: ERIN MICHELLE PULLMAN LCSW

Information about “1326603820” NPI (ERIN MICHELLE PULLMAN LCSW) exists in 1326603820 in HTML format HTML  |  1326603820 in plain Text format TXT  |  1326603820 in PDF (Portable Document Format) PDF  |  1326603820 in an XML format XML  formats.

NPI Number : 1326603820 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326603820",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PULLMAN",
    "FirstName": "ERIN",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BERNSTEIN",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 18",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT ANTHONY",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83445-0018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-356-4900",
    "MailingAddressFaxNumber": "208-624-4030",
    "FirstLinePracticeLocationAddress": "335 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT ANTHONY",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83445-1546",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-356-4900",
    "PracticeLocationAddressFaxNumber": "208-624-4030",
    "EnumerationDate": "05/09/2019",
    "LastUpdateDate": "09/20/2022",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "LCSW-41440",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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