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1598890949 NPI number — CAROL LYNN YATES MA, MFTI

NPI Number: 1598890949
Health Care Provider/Practitioner: CAROL LYNN YATES MA, MFTI

Information about “1598890949” NPI (CAROL LYNN YATES MA, MFTI) exists in 1598890949 in HTML format HTML  |  1598890949 in plain Text format TXT  |  1598890949 in PDF (Portable Document Format) PDF  |  1598890949 in an XML format XML  formats.

NPI Number : 1598890949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598890949",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YATES",
    "FirstName": "CAROL",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA, MFTI",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HINER",
    "OtherFirstName": "CAROL",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "535 S 2ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COVINA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91723-3013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-974-0770",
    "MailingAddressFaxNumber": "626-974-0774",
    "FirstLinePracticeLocationAddress": "535 S 2ND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91723-3013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-974-0770",
    "PracticeLocationAddressFaxNumber": "626-974-0774",
    "EnumerationDate": "02/23/2007",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "IMF 51782",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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