| NPI | 1336271659 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ALLGOOD Billing Specialist 870-819-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-04-11 |