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1437177391 NPI number — CHRISTINE MARIE EICHELBERGER PH.D.

NPI Number: 1437177391
Health Care Provider/Practitioner: CHRISTINE MARIE EICHELBERGER PH.D.

Information about “1437177391” NPI (CHRISTINE MARIE EICHELBERGER PH.D.) exists in 1437177391 in HTML format HTML  |  1437177391 in plain Text format TXT  |  1437177391 in PDF (Portable Document Format) PDF  |  1437177391 in an XML format XML  formats.

NPI Number : 1437177391 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437177391",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EICHELBERGER",
    "FirstName": "CHRISTINE",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AVERILL",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "700 CHILDRENS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43205-2639",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-722-2000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "195 W SCHROCK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTERVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43081-2890",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-355-7570",
    "PracticeLocationAddressFaxNumber": "614-355-7580",
    "EnumerationDate": "07/18/2006",
    "LastUpdateDate": "04/10/2025",
    "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": "103TC2200X",
        "TaxonomyName": "Clinical Child & Adolescent Psychologist",
        "LicenseNumber": "P.5820",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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