Debra Pruyn is a Clinical in Grants Pass, Oregon. Debra Pruyn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Debra Pruyn is 1710032081. The last update date is 2019-05-01.
Debra Pruyn's current location address is 1215 Sw G St, Grants Pass, Oregon. You can contact this provider via phone number 5414762373. The mailing address for Debra Pruyn is 1215 Sw G St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Pruyn |
|---|---|
| Address | 1215 Sw G St, Grants Pass, Oregon |
| Phone Number | 5414762373 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, QMHP |
NPI Number Detail
| NPI Number | 1710032081 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2019-05-01 |
Provider Mailing Address Detail
| Address | 1215 Sw G St |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975262544 |
| Phone Number | 5414762373 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L8013 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074697 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Debra Pruyn?
The Debra Pruyn has been issued the NPI (National Provider Identifier) 1710032081 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Debra Pruyn is located?
The Debra Pruyn is situated at the following address: 1215 Sw G St, Grants Pass, OR, 975262544.
What is Debra Pruyn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Debra Pruyn is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710032081 to Debra Pruyn?
The Debra Pruyn received its 1710032081 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details related to Debra Pruyn most recently updated or revised?
The information pertaining to Debra Pruyn, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-01.