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1346631355 NPI number — KATIE BATEMAN LCPC

NPI Number: 1346631355
Health Care Provider/Practitioner: KATIE BATEMAN LCPC

Information about “1346631355” NPI (KATIE BATEMAN LCPC) exists in 1346631355 in HTML format HTML  |  1346631355 in plain Text format TXT  |  1346631355 in PDF (Portable Document Format) PDF  |  1346631355 in an XML format XML  formats.

NPI Number : 1346631355 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346631355",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BATEMAN",
    "FirstName": "KATIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KURTZ",
    "OtherFirstName": "KATIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "30989 ASPEN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POLSON",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59860-7554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-451-9393",
    "MailingAddressFaxNumber": "406-883-8448",
    "FirstLinePracticeLocationAddress": "6 13TH AVE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POLSON",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59860-5315",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-451-9393",
    "PracticeLocationAddressFaxNumber": "406-883-8448",
    "EnumerationDate": "02/12/2015",
    "LastUpdateDate": "11/17/2016",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "11463",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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