Individual
TOM UMPHRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
Mailing address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
76-19EI
AR
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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