Healthcare Provider Details

I. General information

NPI: 1982172359
Provider Name (Legal Business Name): ALISON CATHERINE PRYOR BA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 NORTH NOB HILL ROAD
SUNRISE FL
33351
US

IV. Provider business mailing address

5450 LYONS RD APT 105
COCONUT CREEK FL
33073-2823
US

V. Phone/Fax

Practice location:
  • Phone: 954-315-7032
  • Fax: 954-449-2422
Mailing address:
  • Phone: 954-204-4063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: