Provider Demographics
NPI:1801647912
Name:PRITCHARD, ADRIEN
Entity type:Individual
Prefix:MR
First Name:ADRIEN
Middle Name:
Last Name:PRITCHARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-4147
Mailing Address - Country:US
Mailing Address - Phone:336-988-5390
Mailing Address - Fax:
Practice Address - Street 1:1104 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-4147
Practice Address - Country:US
Practice Address - Phone:336-988-5390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician