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Individual

DR. EDWARD CARL KLEITSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4300 W 7TH ST, NEUROLOGY SERVICE 127/LR, LITTLE ROCK, AR 72205-5446
(501) 257-6596
Mailing address
3911 LOCHRIDGE RD, NORTH LITTLE ROCK, AR 72116-8311
(501) 758-8849

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
92-8P
AR
103TC0700X
Clinical Psychologist
92-8P
AR
103TH0100X
Health Service Psychologist
Primary
92-8P
AR

Other

Enumeration date
12/19/2005
Last updated
09/11/2025
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