Provider Demographics
NPI:1114764875
Name:PRITCHARD-COMPTON, LAURA ELLEN (MSW, MED)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELLEN
Last Name:PRITCHARD-COMPTON
Suffix:
Gender:F
Credentials:MSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24253 WATAUGA RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7105
Mailing Address - Country:US
Mailing Address - Phone:434-962-3549
Mailing Address - Fax:
Practice Address - Street 1:350 RUSSELL RD NW
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210
Practice Address - Country:US
Practice Address - Phone:276-285-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health