Myra R Pruitt is a Clinical in Toledo, Ohio. Myra R Pruitt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Myra R Pruitt is 1285857235. The last update date is 2007-07-08.
Myra R Pruitt's current location address is 4334 Secor Rd, Toledo, Ohio. You can contact this provider via phone number 4194754449 and fax number 4194793230. The mailing address for Myra R Pruitt is 4334 Secor Rd, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra R Pruitt |
|---|---|
| Address | 4334 Secor Rd, Toledo, Ohio |
| Phone Number | 4194754449 |
| Fax Number | 4194793230 |
| Sole Proprietor | N |
| Credentials | L.I.S.W. |
NPI Number Detail
| NPI Number | 1285857235 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4334 Secor Rd |
|---|---|
| City | Toledo |
| State | Ohio (OH) |
| Post Code | 436234234 |
| Phone Number | 4194754449 |
| Fax Number | 4194793230 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I 0002506 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Myra R Pruitt by the Centers for Medicare & Medicaid Services (CMS)?
The Myra R Pruitt has been assigned the NPI (National Provider Identifier) 1285857235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Myra R Pruitt located?
The Myra R Pruitt is located at 4334 Secor Rd, Toledo, OH 436234234.
What is the Myra R Pruitt's specialty and taxonomy code?
The Myra R Pruitt's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285857235 to Myra R Pruitt?
The Centers for Medicare & Medicaid Services assigned the 1285857235 to Myra R Pruitt on 2007-04-10.
As of what date were the Myra R Pruitt's details last updated?
The information pertaining to the Myra R Pruitt, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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