Provider Demographics
NPI:1982172359
Name:PRYOR, ALISON CATHERINE (BA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:CATHERINE
Last Name:PRYOR
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 LYONS RD APT 105
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2823
Mailing Address - Country:US
Mailing Address - Phone:954-204-4063
Mailing Address - Fax:
Practice Address - Street 1:5100 NORTH NOB HILL ROAD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:954-315-7032
Practice Address - Fax:954-449-2422
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker