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1538230602 NPI number — LINDA S. MAXWELL M.A., L.P.A., C.H.

NPI Number: 1538230602
Health Care Provider/Practitioner: LINDA S. MAXWELL M.A., L.P.A., C.H.

Information about “1538230602” NPI (LINDA S. MAXWELL M.A., L.P.A., C.H.) exists in 1538230602 in HTML format HTML  |  1538230602 in plain Text format TXT  |  1538230602 in PDF (Portable Document Format) PDF  |  1538230602 in an XML format XML  formats.

NPI Number : 1538230602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538230602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAXWELL",
    "FirstName": "LINDA",
    "MiddleName": "S.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A., L.P.A., C.H.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4800 EASTHAVEN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28212-4756",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-572-2201",
    "MailingAddressFaxNumber": "704-535-3751",
    "FirstLinePracticeLocationAddress": "1515 MOCKINGBIRD LN",
    "SecondLinePracticeLocationAddress": "STE 902",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28209-3236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-521-1117",
    "PracticeLocationAddressFaxNumber": "704-521-2771",
    "EnumerationDate": "11/12/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "1943",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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