MEDICARE: DR. JOSEPH STANLEY PRITCHETT II CPC-I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CI3303	NV

General Provider Information

NPI Number	:	1891441895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH STANLEY PRITCHETT II CPC-I

Provider Business Mailing Address
First Line	:	3111 S VALLEY VIEW BLVD STE A220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7702
Country	:	US
Telephone Number	:	619-736-2969
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 S VALLEY VIEW BLVD STE A220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7702
Country	:	US
Telephone Number	:	619-736-2969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	04/05/2022

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