Individual
DR. SAMUEL PREYLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7000
Mailing address
895 FAIRWAY DR., CHILLICOTHE, MO 64601-2019
(660) 646-4655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2004014038
MO
103TC0700X
Clinical Psychologist
Primary
2008034858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494908205
—
MO
Enumeration date
03/15/2007
Last updated
09/10/2014
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