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1659903003 NPI number — DEBORAH TEBES KRAEMER PH.D.

NPI Number: 1659903003
Health Care Provider/Practitioner: DEBORAH TEBES KRAEMER PH.D.

Information about “1659903003” NPI (DEBORAH TEBES KRAEMER PH.D.) exists in 1659903003 in HTML format HTML  |  1659903003 in plain Text format TXT  |  1659903003 in PDF (Portable Document Format) PDF  |  1659903003 in an XML format XML  formats.

NPI Number : 1659903003 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659903003",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRAEMER",
    "FirstName": "DEBORAH",
    "MiddleName": "TEBES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KRAEMER",
    "OtherFirstName": "DEBORAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "389 WHITNEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06511-2301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-915-3702",
    "MailingAddressFaxNumber": "203-946-2021",
    "FirstLinePracticeLocationAddress": "389 WHITNEY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06511-2301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-915-3702",
    "PracticeLocationAddressFaxNumber": "203-946-2021",
    "EnumerationDate": "02/04/2020",
    "LastUpdateDate": "02/04/2020",
    "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": "001625",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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