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1538283916 NPI number — STACY COYLE PSY.D., LP

NPI Number: 1538283916
Health Care Provider/Practitioner: STACY COYLE PSY.D., LP

Information about “1538283916” NPI (STACY COYLE PSY.D., LP) exists in 1538283916 in HTML format HTML  |  1538283916 in plain Text format TXT  |  1538283916 in PDF (Portable Document Format) PDF  |  1538283916 in an XML format XML  formats.

NPI Number : 1538283916 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538283916",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COYLE",
    "FirstName": "STACY",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PSY.D., LP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4400 JENIFER ST NW",
    "SecondLineMailingAddress": "SUITE 280",
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20015-2113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-642-2214",
    "MailingAddressFaxNumber": "202-244-8065",
    "FirstLinePracticeLocationAddress": "4400 JENIFER ST NW",
    "SecondLinePracticeLocationAddress": "SUITE 280",
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20015-2113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-642-2214",
    "PracticeLocationAddressFaxNumber": "202-244-8065",
    "EnumerationDate": "03/19/2007",
    "LastUpdateDate": "06/21/2013",
    "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": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "LP4927",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "1000739",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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