Provider Demographics
NPI:1093911877
Name:PRITT, ANN FIERO (PHD, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:FIERO
Last Name:PRITT
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-2137
Mailing Address - Country:US
Mailing Address - Phone:801-544-1166
Mailing Address - Fax:801-544-6558
Practice Address - Street 1:475 N 300 W
Practice Address - Street 2:SUITE 14
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-3125
Practice Address - Country:US
Practice Address - Phone:801-529-7087
Practice Address - Fax:801-544-6558
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT(94)141017-3501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTR58087Medicare UPIN