| NPI | 1790107431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BARRETT Office Manager 479-561-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 97-13P) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2024-10-29 |