Individual
JAMES STANLEY PRIJATEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP2547
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0268PR
BLUE PLUS
—
01
—
18800381
MMSI
—
01
—
484160
VALUE OPTIONS
—
01
—
56294PR
BCBS
—
01
—
6242632
UBH
—
Enumeration date
11/30/2005
Last updated
07/08/2007
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