| NPI | 1942746102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE STEVENS Physician 479-435-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 5896C) |
| 1041C0700X Social Worker, Clinical (Licence: AR 7256C) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-03-27 |