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1689298838 NPI number — EBONI NICOLE MORRIS PSY. D.

NPI Number: 1689298838
Health Care Provider/Practitioner: EBONI NICOLE MORRIS PSY. D.

Information about “1689298838” NPI (EBONI NICOLE MORRIS PSY. D.) exists in 1689298838 in HTML format HTML  |  1689298838 in plain Text format TXT  |  1689298838 in PDF (Portable Document Format) PDF  |  1689298838 in an XML format XML  formats.

NPI Number : 1689298838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689298838",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORRIS",
    "FirstName": "EBONI",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSY. D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "967 E DESERT HOLLY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN TAN VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85143-4965",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-943-4049",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "166001 N. 40TH ST.",
    "SecondLinePracticeLocationAddress": "SUITE 210",
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-867-1052",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/03/2020",
    "LastUpdateDate": "06/03/2020",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "5049",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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