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1912093931 NPI number — ABBY PRESS ADORNEY PHD

NPI Number: 1912093931
Health Care Provider/Practitioner: ABBY PRESS ADORNEY PHD

Information about “1912093931” NPI (ABBY PRESS ADORNEY PHD) exists in 1912093931 in HTML format HTML  |  1912093931 in plain Text format TXT  |  1912093931 in PDF (Portable Document Format) PDF  |  1912093931 in an XML format XML  formats.

NPI Number : 1912093931 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912093931",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADORNEY",
    "FirstName": "ABBY",
    "MiddleName": "PRESS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PRESS",
    "OtherFirstName": "ABBY",
    "OtherMiddleName": "RUTH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11600 WASHINGTON PL STE 202E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90066-5068",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-895-9691",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11600 WASHINGTON PL STE 202E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90066-5068",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-895-9691",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2006",
    "LastUpdateDate": "04/22/2021",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY14695",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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