| Doctor Name: | MRS. DORITH PRUTCHI |
| NPI Number: | 1275968190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSS, LCSW |
| License Number: | 44SC05551500 |
| Business Practice Address: | 140 S Broadway #7 Pitman, NJ - 080712235 |
| Business Phone Number: | 8443657676 |
| Business Fax Number: | 8443657676 |
| Mailing Address: | 525 Route 73 N, Suite 104 MARLTON |
| State: | NJ |
| Postal Code: | 080533422 |
| Phone Number: | 6095103271 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2013 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05551500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |