NPI Code Detail JSON Logo

1962973198 NPI number — MALORIE KAY OUELLETTE LMFT

NPI Number: 1962973198
Health Care Provider/Practitioner: MALORIE KAY OUELLETTE LMFT

Information about “1962973198” NPI (MALORIE KAY OUELLETTE LMFT) exists in 1962973198 in HTML format HTML  |  1962973198 in plain Text format TXT  |  1962973198 in PDF (Portable Document Format) PDF  |  1962973198 in an XML format XML  formats.

NPI Number : 1962973198 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962973198",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OUELLETTE",
    "FirstName": "MALORIE",
    "MiddleName": "KAY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "204 BOOTHBY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVERMORE",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04253-3829",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-577-6040",
    "MailingAddressFaxNumber": "207-753-1999",
    "FirstLinePracticeLocationAddress": "137 EAST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWISTON",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04240-5627",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-577-6040",
    "PracticeLocationAddressFaxNumber": "207-753-1999",
    "EnumerationDate": "12/16/2018",
    "LastUpdateDate": "02/12/2025",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "XM5146",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MF6484",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.