Laura Pruitt (NPI# 1609112747, PAC ID# 4587929914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1609112747 |
| PAC ID by PECOS | 4587929914 |
| Professional Enrollment ID | I20180605002651 |
| Full Name | Laura Pruitt |
| Organization Legal Name | MENTAL EDGE COUNSELING LLC |
| Address |
1058 S Governors Ave Suite 102 Dover DE 19904-6920 |
| Phone Number | 3023828698 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 2668750324 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1058 S Governors Ave, Suite 102, Dover, DE 19904-6920 | 3023828698 | MENTAL EDGE COUNSELING LLC |
| Organization Legal Name | MENTAL EDGE COUNSELING LLC |
| Physicians | 1 |
| Street Address |
1058 S GOVERNORS AVE SUITE 102 |
| City | DOVER |
| State | DE |
| Zip | 19904-6920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ada M Morris | Clinical Social Worker | Mental Edge Counseling LLC | 1058 S Governors Ave, Suite 102, Dover, DE 19904-6920 |
| Samantha L Withrow | Clinical Social Worker | Mental Edge Counseling LLC | 1058 S Governors Ave, Suite 102, Dover, DE 19904-6920 |
| Louis Papa | Psychiatry | Mental Edge Counseling LLC | 1058 S Governors Ave, Suite 102, Dover, DE 19904-6920 |
| Chitra Choudhary | Endocrinology | Bayhealth Medical Center Inc | 1058 S Governors Ave, 101 Bayhealth Endocrinology Dover, Dover, DE 19904-6920 |
| Tadele W Desalew | Endocrinology | Bayhealth Medical Center Inc | 1058 S Governors Ave, 101 Bayhealth Endocrinology Dover, Dover, DE 19904-6920 |
| Michele L Gillespie | Nurse Practitioner | Mental Edge Counseling LLC | 1058 S Governors Ave, Suite 102, Dover, DE 19904-6920 |
| Nira A Madisi | Internal Medicine | Bayhealth Medical Center Inc | 1058 S Governors Ave, 101 Bayhealth Endocrinology Dover, Dover, DE 19904-6920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid Aslam | Obstetrics/gynecology | Amna Medical Center, LLC | 1095 S Bradford St, Dover, DE 19904-1095 |
| Kirill Alekseyev | Physical Medicine and Rehabilitation | Pam Physician Enterprise | 1240 Mckee Rd, Dover, DE 19904-1381 |
| Elaine D Smith | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Wilbur Belen | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Kathleen S White | Qualified Speech Language Pathologist | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Prasantha K Gopinatha Pillai | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Alicia M Rojas | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Lynn A Dietrich | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Peter B Appel | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Mary Elizabeth Vaughn Moor | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Find all physicians in zip 19904 | |||
| City | DOVER |
| Zip Code | 19904 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | DOVER + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.