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Contact Information

MERISSA PRYOR
PO BOX 4673
SPRINGFIELD, IL62708
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MERISSA PRYOR · (Female)

NPI # 1578057220
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2018
Last updated 01/16/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149.019250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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