SearchTexas104100000X

Jonathan Prouty, LMSW

NPI 1336675602 · on the registry since 2017

Practice

Address
1518 E Lancaster Ave
Ft Worth, TX 76102
Phone
(817) 255-7150
Fax
(817) 255-7166
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas