| Doctor Name: | RACHEL ARVELLA PRYDE |
| NPI Number: | 1831450915 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-930 |
| License Number: | PCSW-496 |
| Business Practice Address: | 383 N. Main St. Thayne, WY - 83127 |
| Business Phone Number: | 3078807224 |
| Business Fax Number: | 3072244973 |
| Mailing Address: | 718 Alta Dr, STAR VALLEY RANCH |
| State: | WY |
| Postal Code: | 831279070 |
| Phone Number: | 3078837195 |
| Fax Number: | 3078807224 |
| NPI Enumeration Date: | 06/05/2012 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PCSW-496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |