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1659718633 NPI number — MARCY CALDWELL PSY.D.

NPI Number: 1659718633
Health Care Provider/Practitioner: MARCY CALDWELL PSY.D.

Information about “1659718633” NPI (MARCY CALDWELL PSY.D.) exists in 1659718633 in HTML format HTML  |  1659718633 in plain Text format TXT  |  1659718633 in PDF (Portable Document Format) PDF  |  1659718633 in an XML format XML  formats.

NPI Number : 1659718633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659718633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALDWELL",
    "FirstName": "MARCY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MURPHY",
    "OtherFirstName": "MARCY",
    "OtherMiddleName": "CALDWELL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSY.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2216 RITTENHOUSE SQ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19103-5505",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-724-7010",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "505 S 22ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19146-1246",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-724-7010",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2013",
    "LastUpdateDate": "05/26/2016",
    "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": "PS016507",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PS016507",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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