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Organization
UNIVERSITY OF CENTRAL ARKANSAS
Active
Organization
UNIVERSITY OF CENTRAL ARKANSAS
Active
Other names
Interprofessional Teaching Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD LAIRAMORE (ASSOCIATE DEAN)
(501) 852-2911
Entity
Organization
Contact information
Practice address
2200 BRUCE STREET, STE 101, CONWAY, AR 72034
(501) 470-7457
(501) 504-2105
Mailing address
2200 BRUCE STREET, STE 101, CONWAY, AR 72034
(501) 470-7457
(501) 504-2105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
03/21/2023
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