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1417003468 NPI number — SUSAN WITENBERG FISHER PH.D.

NPI Number: 1417003468
Health Care Provider/Practitioner: SUSAN WITENBERG FISHER PH.D.

Information about “1417003468” NPI (SUSAN WITENBERG FISHER PH.D.) exists in 1417003468 in HTML format HTML  |  1417003468 in plain Text format TXT  |  1417003468 in PDF (Portable Document Format) PDF  |  1417003468 in an XML format XML  formats.

NPI Number : 1417003468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417003468",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WITENBERG FISHER",
    "FirstName": "SUSAN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FISHER",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7 BIRCH HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12211-2004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-434-6096",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "316 DELAWARE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 222",
    "PracticeLocationAddressCityName": "DELMAR",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12054-1932",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-475-0142",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/25/2007",
    "LastUpdateDate": "03/13/2008",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "007469",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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