Mr Russell Allan Pryor, LCSW | |
3558 Brookshire Dr, Syracuse, UT 84075-9829 | |
(801) 718-2889 | |
Not Available |
Full Name | Mr Russell Allan Pryor |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3558 Brookshire Dr, Syracuse, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144528357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 318362-3501 (Utah) | Primary |
Entity Name | Valley Mental Health Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937 |
Mailing Address | Practice Location Address |
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Mr Russell Allan Pryor, LCSW 3558 Brookshire Dr, Syracuse, UT 84075-9829 Ph: (801) 718-2889 | Mr Russell Allan Pryor, LCSW 3558 Brookshire Dr, Syracuse, UT 84075-9829 Ph: (801) 718-2889 |
Wendy L Fisher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 584 S 3300 W, Syracuse, UT 84075 Phone: 801-920-0767 | |
Ms. Julie Ann Knopp, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 W 1950 S, Syracuse, UT 84075 Phone: 801-390-8321 Fax: 801-525-6997 | |
Leigh Anne Finlinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W Ste 105, Syracuse, UT 84075 Phone: 801-332-9201 Fax: 385-423-2379 | |
Jasmyne Litanski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1747 Heritage Ln, Syracuse, UT 84075 Phone: 385-439-1926 | |
Marc Lee Anson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1747 Heritage Ln Ste B101, Syracuse, UT 84075 Phone: 385-439-1926 | |
Ms. Christine S Peasley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, Suite E 302, Syracuse, UT 84075 Phone: 801-755-7507 |