Provider Demographics
NPI:1891441895
Name:PRITCHETT, JOSEPH STANLEY II (CPC-I)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STANLEY
Last Name:PRITCHETT
Suffix:II
Gender:M
Credentials:CPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 S VALLEY VIEW BLVD STE A220
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-7702
Mailing Address - Country:US
Mailing Address - Phone:619-736-2969
Mailing Address - Fax:
Practice Address - Street 1:3111 S VALLEY VIEW BLVD STE A220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7702
Practice Address - Country:US
Practice Address - Phone:619-736-2969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI3303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty