Priddy, Elton Michael

Priddy, Elton Michael is an sole proprietor health care provider with primary practice located at 12400 W 62Nd Ter Suite G, Shawnee KS 66216-1833. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Priddy, Elton Michael can be contacted via phone (913) 449-3696.

Contact Information

Primary practice address
12400 W 62Nd Ter Suite G Shawnee KS 66216-1833
Phone: (913) 449-3696
Fax: (913) 548-4816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 229 Kansas
Behavioral Health & Social Service Providers / Professional 101YP2500X 2002008095 Missouri

Profile Details

NPI number 1366587016
LBN Legal business name Priddy, Elton Michael
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Apr 28th, 2010 - about 14 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.

Request for update

Popular Providers