Doctor Name: | STEPHEN G PRITT |
NPI Number: | 1487803912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 447 N 300 W Suite 7 Kaysville, UT - 840374203 |
Business Phone Number: | 8019910628 |
Business Fax Number: | 8016601186 |
Mailing Address: | 839 E 2200 S, CLEARFIELD |
State: | UT |
Postal Code: | 840156238 |
Phone Number: | 8019910628 |
Fax Number: | 8016601186 |
NPI Enumeration Date: | 09/09/2008 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |