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1790984102 NPI number — KATHERINE ALLEN MCNALLY M.A., LMFT

NPI Number: 1790984102
Health Care Provider/Practitioner: KATHERINE ALLEN MCNALLY M.A., LMFT

Information about “1790984102” NPI (KATHERINE ALLEN MCNALLY M.A., LMFT) exists in 1790984102 in HTML format HTML  |  1790984102 in plain Text format TXT  |  1790984102 in PDF (Portable Document Format) PDF  |  1790984102 in an XML format XML  formats.

NPI Number : 1790984102 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790984102",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCNALLY",
    "FirstName": "KATHERINE",
    "MiddleName": "ALLEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A., LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALLEN",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LMFT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "45 LYME RD STE 310A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HANOVER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03755-1260",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "833-427-7528",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "45 LYME RD STE 310A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HANOVER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03755-1260",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-427-7528",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2007",
    "LastUpdateDate": "05/03/2024",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "001349",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "100.0133995",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "195",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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