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1831797976 NPI number — SUSAN M WALKER PHD, CGP

NPI Number: 1831797976
Health Care Provider/Practitioner: SUSAN M WALKER PHD, CGP

Information about “1831797976” NPI (SUSAN M WALKER PHD, CGP) exists in 1831797976 in HTML format HTML  |  1831797976 in plain Text format TXT  |  1831797976 in PDF (Portable Document Format) PDF  |  1831797976 in an XML format XML  formats.

NPI Number : 1831797976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831797976",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "SUSAN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHD, CGP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALKER",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SUSAN M. WALKER, PHD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "63 BALD EAGLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HACKETTSTOWN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07840-2812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-844-2685",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "88 PARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTCLAIR",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07042-5915",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-844-2685",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2020",
    "LastUpdateDate": "10/12/2020",
    "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": "103TC1900X",
        "TaxonomyName": "Counseling Psychologist",
        "LicenseNumber": "46300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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