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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