| NPI | 1205976099 |
|---|---|
| Doing Business As | PSYCHOLOGY & COUNSELING ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LAVONNA M LATTA Office Manager 479-443-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 97-04P) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-04-14 |