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1750199287 NPI number — LI TING LIN PHD

NPI Number: 1750199287
Health Care Provider/Practitioner: LI TING LIN PHD

Information about “1750199287” NPI (LI TING LIN PHD) exists in 1750199287 in HTML format HTML  |  1750199287 in plain Text format TXT  |  1750199287 in PDF (Portable Document Format) PDF  |  1750199287 in an XML format XML  formats.

NPI Number : 1750199287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750199287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIN",
    "FirstName": "LI TING",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIN",
    "OtherFirstName": "ADA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2389 MAIN ST STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLASTONBURY",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06033-4617",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "332-334-6843",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2389 MAIN ST STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLASTONBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06033-4617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "332-334-6843",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/30/2024",
    "LastUpdateDate": "07/22/2025",
    "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": "004913",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "026801",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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