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1942774500 NPI number — ANGELA MARIE WEBB PSY.D

NPI Number: 1942774500
Health Care Provider/Practitioner: ANGELA MARIE WEBB PSY.D

Information about “1942774500” NPI (ANGELA MARIE WEBB PSY.D) exists in 1942774500 in HTML format HTML  |  1942774500 in plain Text format TXT  |  1942774500 in PDF (Portable Document Format) PDF  |  1942774500 in an XML format XML  formats.

NPI Number : 1942774500 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942774500",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEBB",
    "FirstName": "ANGELA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 142",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BONNE TERRE",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63628-0142",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-569-0816",
    "MailingAddressFaxNumber": "573-315-3815",
    "FirstLinePracticeLocationAddress": "212 W COLUMBIA ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGTON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63640-1700",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-315-3800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2019",
    "LastUpdateDate": "05/19/2024",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "2015044985",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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