Individual
PHILLIP PRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 BRIARWOOD WAY, SOUTH ABINGTON TOWNSHIP, PA 18411-9167
(570) 780-6558
Mailing address
87 WYNDHAM RD, SOUTH ABINGTON TOWNSHIP, PA 18411-8407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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