Provider Demographics
NPI:1275313355
Name:COMPTON, PRIANA LYNA
Entity Type:Individual
Prefix:
First Name:PRIANA
Middle Name:LYNA
Last Name:COMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 10TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-1361
Mailing Address - Country:US
Mailing Address - Phone:330-413-6614
Mailing Address - Fax:
Practice Address - Street 1:4900 MERIDIAN ST N BUCHANAN HALL, BUCHANAN WAY
Practice Address - Street 2:SUITE 124
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:330-413-6614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health