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1952911307 NPI number — KELSI ANN CLAYSON PSYD

NPI Number: 1952911307
Health Care Provider/Practitioner: KELSI ANN CLAYSON PSYD

Information about “1952911307” NPI (KELSI ANN CLAYSON PSYD) exists in 1952911307 in HTML format HTML  |  1952911307 in plain Text format TXT  |  1952911307 in PDF (Portable Document Format) PDF  |  1952911307 in an XML format XML  formats.

NPI Number : 1952911307 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952911307",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLAYSON",
    "FirstName": "KELSI",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "UMEKUBO",
    "OtherFirstName": "KELSI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "20747 STERLINGTON DR.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAND O' LAKES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34638-4317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-702-3326",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20747 STERLINGTON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAND O LAKES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34638-4317",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-702-3326",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2020",
    "LastUpdateDate": "08/26/2020",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PY10776",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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