Individual
NICKALAUS PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2958
Mailing address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406433-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090509
—
OH
Enumeration date
12/30/2024
Last updated
01/21/2026
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