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1467408278 NPI number — LISA A. SNYDER LISW

NPI Number: 1467408278
Health Care Provider/Practitioner: LISA A. SNYDER LISW

Information about “1467408278” NPI (LISA A. SNYDER LISW) exists in 1467408278 in HTML format HTML  |  1467408278 in plain Text format TXT  |  1467408278 in PDF (Portable Document Format) PDF  |  1467408278 in an XML format XML  formats.

NPI Number : 1467408278 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467408278",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SNYDER",
    "FirstName": "LISA",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LISW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7 INDEPENDENCE PT",
    "SecondLineMailingAddress": "SUITE 140",
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29615-4566",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-797-6044",
    "MailingAddressFaxNumber": "864-797-6195",
    "FirstLinePracticeLocationAddress": "200 PATEWOOD DR",
    "SecondLinePracticeLocationAddress": "SUITE A200",
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29615-3593",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-454-5115",
    "PracticeLocationAddressFaxNumber": "864-454-5141",
    "EnumerationDate": "05/25/2006",
    "LastUpdateDate": "02/22/2008",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "4965",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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