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1639346208 NPI number — DINA DALEO PSY.D.

NPI Number: 1639346208
Health Care Provider/Practitioner: DINA DALEO PSY.D.

Information about “1639346208” NPI (DINA DALEO PSY.D.) exists in 1639346208 in HTML format HTML  |  1639346208 in plain Text format TXT  |  1639346208 in PDF (Portable Document Format) PDF  |  1639346208 in an XML format XML  formats.

NPI Number : 1639346208 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639346208",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DALEO",
    "FirstName": "DINA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2374 E DUDLEY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91104-3417",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-354-0703",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3171 LOS FELIZ BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90039-1527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-354-0703",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/13/2008",
    "LastUpdateDate": "05/13/2008",
    "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": "PSY16723",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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