NPI Code Detail JSON Logo

1558607259 NPI number — FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES

NPI Number: 1558607259
Health Care Provider/Practitioner: FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES

Information about “1558607259” NPI (FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES) exists in 1558607259 in HTML format HTML  |  1558607259 in plain Text format TXT  |  1558607259 in PDF (Portable Document Format) PDF  |  1558607259 in an XML format XML  formats.

NPI Number : 1558607259 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558607259",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 92",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SWEDESBORO",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08085-0092",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-922-2050",
    "MailingAddressFaxNumber": "866-562-1376",
    "FirstLinePracticeLocationAddress": "704 W GIRARD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19123-1313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-922-2050",
    "PracticeLocationAddressFaxNumber": "866-562-1376",
    "EnumerationDate": "12/27/2012",
    "LastUpdateDate": "05/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARDSON",
    "AuthorizedOfficialFirstName": "FRANCIEN",
    "AuthorizedOfficialMiddleName": "CHENOWETH",
    "AuthorizedOfficialTitle": "LICENSED PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSYD",
    "AuthorizedOfficialTelephoneNumber": "856-343-5848",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PS016687",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.