| NPI | 1114073459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY D. PARKER Clinical Psychologist 479-444-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 05-19P) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 1960-C) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |