| NPI | 1861925968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LYNN STATON Psychologist 501-617-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AR 17-04P) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |