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 |