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1811093016 NPI number — CYNTHIA ELLEN HURD-TERPSTRA MPH, LCSW

NPI Number: 1811093016
Health Care Provider/Practitioner: CYNTHIA ELLEN HURD-TERPSTRA MPH, LCSW

Information about “1811093016” NPI (CYNTHIA ELLEN HURD-TERPSTRA MPH, LCSW) exists in 1811093016 in HTML format HTML  |  1811093016 in plain Text format TXT  |  1811093016 in PDF (Portable Document Format) PDF  |  1811093016 in an XML format XML  formats.

NPI Number : 1811093016 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811093016",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HURD-TERPSTRA",
    "FirstName": "CYNTHIA",
    "MiddleName": "ELLEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MPH, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HURD",
    "OtherFirstName": "CYNTHIA",
    "OtherMiddleName": "ELLEN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MPH, LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "4344 WESTBROOKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80526-3455",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-481-0146",
    "MailingAddressFaxNumber": "970-232-3101",
    "FirstLinePracticeLocationAddress": "155 BOARDWALK DR STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT COLLINS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80525-3040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-481-0146",
    "PracticeLocationAddressFaxNumber": "970-232-3101",
    "EnumerationDate": "09/15/2006",
    "LastUpdateDate": "01/04/2017",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SW 288",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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