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1336174192 NPI number — JOHN THOMAS SANDY PSYD

NPI Number: 1336174192
Health Care Provider/Practitioner: JOHN THOMAS SANDY PSYD

Information about “1336174192” NPI (JOHN THOMAS SANDY PSYD) exists in 1336174192 in HTML format HTML  |  1336174192 in plain Text format TXT  |  1336174192 in PDF (Portable Document Format) PDF  |  1336174192 in an XML format XML  formats.

NPI Number : 1336174192 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336174192",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANDY",
    "FirstName": "JOHN",
    "MiddleName": "THOMAS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANDY",
    "OtherFirstName": "J.",
    "OtherMiddleName": "THOMAS",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3330 L AND N DR SW",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "HUNTSVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35801-5380",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-880-7173",
    "MailingAddressFaxNumber": "256-880-7178",
    "FirstLinePracticeLocationAddress": "3330 L AND N DR SW",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "HUNTSVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35801-5380",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-880-7173",
    "PracticeLocationAddressFaxNumber": "256-880-7178",
    "EnumerationDate": "07/11/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "974",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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