Preylo, Samuel

Preylo, Samuel is an individual health care provider with primary practice located at 600 Caisson Hill Rd , Fort Riley KS 66442-7037. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Preylo, Samuel can be contacted via phone (785) 239-7000.

Contact Information

Primary practice address
600 Caisson Hill Rd Fort Riley KS 66442-7037
Phone: (785) 239-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2004014038 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2008034858 Missouri

Profile Details

NPI number 1669506283
LBN Legal business name Preylo, Samuel
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Sep 10th, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669506283 NPPES
Missouri MEDICAID 494908205

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