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 | 2024-10-04 |