NPI | 1972872133 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY WILSON Owner 501-843-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TA0700X Psychologist, Adult Development & Aging | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP0814X Psychologist, Psychoanalysis | |
103TP2701X Psychologist, Group Psychotherapy | |
103TR0400X Psychologist, Rehabilitation | |
103TS0200X Psychologist, School | |
Enumeration Date | 2011-12-16 |
Last Update Date | 2011-12-16 |