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Organization

PRUITT PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN TODD PRUITT PHD (PSYCHOLOGIST AND OWNER)
(518) 417-1905
Entity
Organization

Contact information

Practice address
200 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 417-1905
Mailing address
200 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 417-1905

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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