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1619546678 NPI number — JESSICA LAUREN REINHARD PSYD

NPI Number: 1619546678
Health Care Provider/Practitioner: JESSICA LAUREN REINHARD PSYD

Information about “1619546678” NPI (JESSICA LAUREN REINHARD PSYD) exists in 1619546678 in HTML format HTML  |  1619546678 in plain Text format TXT  |  1619546678 in PDF (Portable Document Format) PDF  |  1619546678 in an XML format XML  formats.

NPI Number : 1619546678 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619546678",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REINHARD",
    "FirstName": "JESSICA",
    "MiddleName": "LAUREN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FEGELY",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "LAUREN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "26 KATYLYN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "READING",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19605-7026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-762-9886",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1400 BLACKHORSE HILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COATESVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19320-2040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-384-7711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2021",
    "LastUpdateDate": "03/23/2022",
    "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": "103G00000X",
        "TaxonomyName": "Clinical Neuropsychologist",
        "LicenseNumber": "PS019260",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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