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1578113403 NPI number — JANET MENTORE LEE PH.D.

NPI Number: 1578113403
Health Care Provider/Practitioner: JANET MENTORE LEE PH.D.

Information about “1578113403” NPI (JANET MENTORE LEE PH.D.) exists in 1578113403 in HTML format HTML  |  1578113403 in plain Text format TXT  |  1578113403 in PDF (Portable Document Format) PDF  |  1578113403 in an XML format XML  formats.

NPI Number : 1578113403 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578113403",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "JANET",
    "MiddleName": "MENTORE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "124 WOODRIDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW CANAAN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06840-3511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-832-4237",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "124 WOODRIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW CANAAN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06840-3511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-832-4237",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/12/2019",
    "LastUpdateDate": "09/12/2019",
    "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": "002386",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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