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1972318194 NPI number — MATTHEW DAVID CURRIN MS, MED, LPCA

NPI Number: 1972318194
Health Care Provider/Practitioner: MATTHEW DAVID CURRIN MS, MED, LPCA

Information about “1972318194” NPI (MATTHEW DAVID CURRIN MS, MED, LPCA) exists in 1972318194 in HTML format HTML  |  1972318194 in plain Text format TXT  |  1972318194 in PDF (Portable Document Format) PDF  |  1972318194 in an XML format XML  formats.

NPI Number : 1972318194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972318194",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CURRIN",
    "FirstName": "MATTHEW",
    "MiddleName": "DAVID",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, MED, LPCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3914 LANDHERR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40299-4468",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-776-1144",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1931 FRANKFORT AVE # 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40206-2026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-354-8044",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2025",
    "LastUpdateDate": "02/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "291997",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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