Provider Demographics
NPI:1699114348
Name:PRYOR, DAMON A
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:A
Last Name:PRYOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 NEEDHAM ST
Mailing Address - Street 2:APT 2234
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1646
Mailing Address - Country:US
Mailing Address - Phone:617-969-0480
Mailing Address - Fax:
Practice Address - Street 1:935 GREAT PLAIN AVE # 268
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-3031
Practice Address - Country:US
Practice Address - Phone:508-521-9405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health