Individual
DR. CARLI NICOLE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., J.D.
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
208 DAIRY RD, BERWICK, PA 18603-5819
(570) 594-7053
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018963
PA
Other
Enumeration date
12/26/2019
Last updated
04/15/2021
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