Organization
S MCKENNA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE MCKENNA PHD (PSYCHOLOGIST)
(479) 254-1144
Entity
Organization
Contact information
Practice address
1601 RAINBOW RD, ROGERS, AR 72758-8821
(479) 254-1144
(479) 254-1099
Mailing address
1601 RAINBOW RD, ROGERS, AR 72758-8821
(479) 254-1144
(479) 254-1099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10-07P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498570209
—
MO
Enumeration date
01/05/2011
Last updated
01/05/2011
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