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Thomas Pruitt
Licensed Psychiatric Technician in Salt Lake City, Utah
NPI 1104172048

Thomas Pruitt is a Licensed Psychiatric Technician based in Salt Lake City, UT. Thomas Pruitt practices in Salt Lake City, UT. The NPI Number for Thomas Pruitt is 1104172048 and holds a License No. (Utah).

The current practice location address for Thomas Pruitt is 501 E Chipeta Way, Salt Lake City, UT and can be reached out via phone at 807-857-7992.

Location: 501 E Chipeta Way, Salt Lake City, UT, 84102-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104172048
Provider Name
Thomas Pruitt
Credential
Provider Entity Type
Individual
Gender
Male
Address
501 E Chipeta Way, Salt Lake City, UT, 84102-3906
Phone Number
807-857-7992
Fax Number
Provider Enumeration Date
07/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 E Chipeta Way
City
Salt Lake City
State
Utah
Zip
84108-1222
Phone Number
807-857-7992
Fax Number
person
Provider Business Mailing Address Details
Address
501 E Chipeta Way
City
Salt Lake City
State
Utah
Zip
84108-1222
Phone Number
807-857-7992
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
()
Definition
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 disorders and developmental disabilities.
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