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1952086407 NPI number — CHRISTYN MARIE OPROMOLLO PSYD

NPI Number: 1952086407
Health Care Provider/Practitioner: CHRISTYN MARIE OPROMOLLO PSYD

Information about “1952086407” NPI (CHRISTYN MARIE OPROMOLLO PSYD) exists in 1952086407 in HTML format HTML  |  1952086407 in plain Text format TXT  |  1952086407 in PDF (Portable Document Format) PDF  |  1952086407 in an XML format XML  formats.

NPI Number : 1952086407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952086407",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OPROMOLLO",
    "FirstName": "CHRISTYN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DRANGINIS",
    "OtherFirstName": "CHRISTYN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "477 SPRUCE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAWLEY",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18428-4570",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-610-9677",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2300 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLASTONBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06033-2218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-430-1762",
    "PracticeLocationAddressFaxNumber": "860-430-1767",
    "EnumerationDate": "06/21/2023",
    "LastUpdateDate": "11/21/2024",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "4872",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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