| NPI | 1417126582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN CALLISON Licensed Independent Psychological 501-776-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AR 92-05 LPE-I) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |