Organization
JOEL G PRATHER PSY.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL G PRATHER PSY.D (PRESIDENT)
(850) 249-9736
Entity
Organization
Contact information
Practice address
12133 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2609
(850) 249-9636
(850) 249-9635
Mailing address
12133 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2609
(850) 249-9636
(850) 249-9635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH9104
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768539400
—
FL
Enumeration date
05/06/2008
Last updated
12/16/2024
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