National Provider Identifier Database

THOMAS PRUITT
Licensed Psychiatric Technician

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.


Contact Information

THOMAS PRUITT
501 E CHIPETA WAY
SALT LAKE CITY, UT84108-1222
Phone: 807-857-7992
Fax:
Website:
Specialty Taxonomy Code
* Licensed Psychiatric Technician 167G00000X

* Indicates primary specialty

NPI Profile & details for THOMAS PRUITT

NPI Number 1104172048
Credentials
Entity Individual
Enumeration date 07/30/2012
Last updated 07/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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