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1508792029 NPI number — MADELINE HARENZA SOUSA MS

NPI Number: 1508792029
Health Care Provider/Practitioner: MADELINE HARENZA SOUSA MS

Information about “1508792029” NPI (MADELINE HARENZA SOUSA MS) exists in 1508792029 in HTML format HTML  |  1508792029 in plain Text format TXT  |  1508792029 in PDF (Portable Document Format) PDF  |  1508792029 in an XML format XML  formats.

NPI Number : 1508792029 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508792029",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOUSA",
    "FirstName": "MADELINE",
    "MiddleName": "HARENZA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARENZA",
    "OtherFirstName": "MADELINE",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "101 WASHINGTON ST APT 406",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONSHOHOCKEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19428-2537",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-401-3660",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "928 JAYMOR RD STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHAMPTON",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18966-3826",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-947-8654",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2026",
    "LastUpdateDate": "06/22/2026",
    "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": null,
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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