| Doctor Name: | MR. EDGAR PRETTY ON TOP |
| NPI Number: | 1285894972 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICAL SOCIAL WORK |
| License Number: | 3733603501 |
| Business Practice Address: | 1010 South 7650 East Crow Agency, MT - 590220009 |
| Business Phone Number: | 4066383491 |
| Business Fax Number: | 4066383431 |
| Mailing Address: | Po Box 9, CROW AGENCY |
| State: | MT |
| Postal Code: | 590220009 |
| Phone Number: | 4066383491 |
| Fax Number: | 4066383431 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3733603501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |