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1942359963 NPI number — REBECCA B EVANS PSYD

NPI Number: 1942359963
Health Care Provider/Practitioner: REBECCA B EVANS PSYD

Information about “1942359963” NPI (REBECCA B EVANS PSYD) exists in 1942359963 in HTML format HTML  |  1942359963 in plain Text format TXT  |  1942359963 in PDF (Portable Document Format) PDF  |  1942359963 in an XML format XML  formats.

NPI Number : 1942359963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942359963",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EVANS",
    "FirstName": "REBECCA",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLARK",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "B",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 16082",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RUMFORD",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02916-0698",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-339-6449",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10 STONE RIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEEKONK",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02771-2921",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-437-7444",
    "PracticeLocationAddressFaxNumber": "401-414-0671",
    "EnumerationDate": "01/09/2007",
    "LastUpdateDate": "10/19/2022",
    "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": "10072",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PS01399",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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