Pryor, Keith

Pryor, Keith is an individual health care provider with primary practice located at 1080 Elm St , Rocky Hill CT 06067-1844. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pryor, Keith can be contacted via phone (860) 831-3298.

Contact Information

Primary practice address
1080 Elm St Rocky Hill CT 06067-1844
Phone: (860) 831-3298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5185 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5185 Connecticut

Profile Details

NPI number 1144991530
LBN Legal business name Pryor, Keith
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2021
Last updated Sep 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144991530 NPPES
Connecticut MEDICAID 17756514

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