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1740722354 NPI number — VANESSA MUNOZ PSYD

NPI Number: 1740722354
Health Care Provider/Practitioner: VANESSA MUNOZ PSYD

Information about “1740722354” NPI (VANESSA MUNOZ PSYD) exists in 1740722354 in HTML format HTML  |  1740722354 in plain Text format TXT  |  1740722354 in PDF (Portable Document Format) PDF  |  1740722354 in an XML format XML  formats.

NPI Number : 1740722354 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740722354",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUNOZ",
    "FirstName": "VANESSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1001 PARTRIDGE DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VENTURA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93003-0714",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-282-1778",
    "MailingAddressFaxNumber": "415-296-5299",
    "FirstLinePracticeLocationAddress": "1001 PARTRIDGE DR STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENTURA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93003-0714",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "925-282-1778",
    "PracticeLocationAddressFaxNumber": "415-296-5299",
    "EnumerationDate": "11/14/2016",
    "LastUpdateDate": "11/18/2024",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "35095",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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