| NPI | 1598864043 |
|---|---|
| Doing Business As | NORTHWEST AR PSYCHOLOGICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DIANE P BACK Office Manager 479-442-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 78-18 P) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-07-08 |