| NPI | 1972611408 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUDY W JOHNSON Clinic Director 501-224-0416  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 7623P)  | 
| Enumeration Date | 2006-08-25 | 
| Last Update Date | 2020-08-22 |