| NPI | 1861525826 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ALLGOOD Billing Specialist 870-819-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-11-07 |