Prather, Joel Glenn
Prather, Joel Glenn is an individual health care provider with primary practice located at 12133 Panama City Beach Pkwy , Panama City Beach FL 32407-2609. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Prather, Joel Glenn can be contacted via phone (850) 249-9636.Contact Information
Primary practice address
12133 Panama City Beach Pkwy
Panama City Beach FL 32407-2609
Phone: (850) 249-9636
Fax: (850) 249-9635
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH9104 | Florida |
Profile Details
NPI number | 1063633444 |
---|---|
LBN Legal business name | Prather, Joel Glenn |
Credentials | PSY.D, LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2007 |
Last updated | Feb 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063633444 | NPPES |
Florida | MEDICAID | 768539400 |
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