| NPI | 1316470735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHAISSON Licensed Psychologist 479-422-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR AR-PL 15-03P) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |