Healthcare Provider Details

I. General information

NPI: 1538211800
Provider Name (Legal Business Name): WILLIAM ALEXANDER PRYOR M.A., L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N SPEER BLVD SUITE E
DENVER CO
80211-4239
US

IV. Provider business mailing address

2855 N SPEER BLVD SUITE E
DENVER CO
80211-4239
US

V. Phone/Fax

Practice location:
  • Phone: 303-815-8538
  • Fax: 303-455-0661
Mailing address:
  • Phone: 303-815-8538
  • Fax: 303-455-0661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5047
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: