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1962710954 NPI number — TAMMY ELKINS, PHD

NPI Number: 1962710954
Health Care Provider/Practitioner: TAMMY ELKINS, PHD

Information about “1962710954” NPI (TAMMY ELKINS, PHD) exists in 1962710954 in HTML format HTML  |  1962710954 in plain Text format TXT  |  1962710954 in PDF (Portable Document Format) PDF  |  1962710954 in an XML format XML  formats.

NPI Number : 1962710954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962710954",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TAMMY ELKINS, PHD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "802 14TH ST STE G",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MODESTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95354-1029",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-521-4334",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "802 14TH ST STE G",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MODESTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95354-1029",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-521-4334",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2010",
    "LastUpdateDate": "09/23/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELKINS",
    "AuthorizedOfficialFirstName": "TAMMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "209-985-4162",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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