NPI | 1639202716 |
---|---|
Doing Business As | PEDIATRIC SPECIALTY CARE |
Entity Type | Organization |
Authorized Contact | HOLLY ALLGOOD Billing Specialist 870-935-0260 |
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 | 2007-03-14 |
Last Update Date | 2025-09-11 |