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1720184823 NPI number — MARY MARGARET JONSSON PHD

NPI Number: 1720184823
Health Care Provider/Practitioner: MARY MARGARET JONSSON PHD

Information about “1720184823” NPI (MARY MARGARET JONSSON PHD) exists in 1720184823 in HTML format HTML  |  1720184823 in plain Text format TXT  |  1720184823 in PDF (Portable Document Format) PDF  |  1720184823 in an XML format XML  formats.

NPI Number : 1720184823 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720184823",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONSSON",
    "FirstName": "MARY",
    "MiddleName": "MARGARET",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "MARGARET",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2855 N SPEER BLVD STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80211-4240",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-830-1213",
    "MailingAddressFaxNumber": "303-477-5802",
    "FirstLinePracticeLocationAddress": "2855 N SPEER BLVD STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80211-4240",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-830-1213",
    "PracticeLocationAddressFaxNumber": "303-477-5802",
    "EnumerationDate": "09/15/2006",
    "LastUpdateDate": "09/11/2023",
    "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": "PSYCHOLOGY1294",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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