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1770075483 NPI number — RACHAEL D KERNS-WETHERINGTON PSYD

NPI Number: 1770075483
Health Care Provider/Practitioner: RACHAEL D KERNS-WETHERINGTON PSYD

Information about “1770075483” NPI (RACHAEL D KERNS-WETHERINGTON PSYD) exists in 1770075483 in HTML format HTML  |  1770075483 in plain Text format TXT  |  1770075483 in PDF (Portable Document Format) PDF  |  1770075483 in an XML format XML  formats.

NPI Number : 1770075483 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770075483",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KERNS-WETHERINGTON",
    "FirstName": "RACHAEL",
    "MiddleName": "D",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KERNS",
    "OtherFirstName": "RACHAEL",
    "OtherMiddleName": "D",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1900 E HAROLD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19125-1108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-242-1787",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4617 WOODLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19143-3836",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-242-1787",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2018",
    "LastUpdateDate": "05/30/2018",
    "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": "5354",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PS017558",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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