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Organization
ROSE SMITH PSYCHOLOGY PLLC
Active
Organization
ROSE SMITH PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE SMITH PHD (OWNER)
(501) 804-1786
Entity
Organization
Contact information
Practice address
2723 FOXCROFT RD, SUITE 311A, LITTLE ROCK, AR 72227-2455
(501) 804-1786
(501) 661-0304
Mailing address
2723 FOXCROFT RD, SUITE 311A, LITTLE ROCK, AR 72227-2455
(501) 804-1786
(501) 661-0304
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-03P
STATE LICENSE
AR
Enumeration date
12/04/2015
Last updated
12/11/2015
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