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1679887459 NPI number — CHRISTINE ROSS PH.D., LMFT

NPI Number: 1679887459
Health Care Provider/Practitioner: CHRISTINE ROSS PH.D., LMFT

Information about “1679887459” NPI (CHRISTINE ROSS PH.D., LMFT) exists in 1679887459 in HTML format HTML  |  1679887459 in plain Text format TXT  |  1679887459 in PDF (Portable Document Format) PDF  |  1679887459 in an XML format XML  formats.

NPI Number : 1679887459 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679887459",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSS",
    "FirstName": "CHRISTINE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D., LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9637 MENDOZA AVE NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87109-6614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-585-2082",
    "MailingAddressFaxNumber": "888-924-8181",
    "FirstLinePracticeLocationAddress": "7400 HANCOCK CT NE STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87109",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-585-2082",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2010",
    "LastUpdateDate": "06/09/2019",
    "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": "0153281",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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