Organization
THERAPY ASSESSMENT CENTER, LLC
Active
Organization
THERAPY ASSESSMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA SEWELL SHORT PSYD., LP (LICENSED PSYCHOLOGIST)
(501) 291-3091
Entity
Organization
Contact information
Practice address
317 OAK ST STE 3, CONWAY, AR 72032
(501) 291-3091
(501) 588-0484
Mailing address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 291-3091
(501) 588-0484
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/06/2019
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