Individual provider · Type 1 NPI

Thomas Pruitt

Licensed Psychiatric Technician · Salt Lake City, UT

NPI number 1104172048 Active

Practice location

501 E Chipeta Way
Salt Lake City, UT 84108-1222

Call (807) 857-7992 Map

Mailing address

622 Elizabeth St
Salt Lake City, UT 84102-3906

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

13 other providers at this address

About NPI 1104172048

Thomas Pruitt's National Provider Identifier is 1104172048, issued on Jul 30, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 30, 2012.