Organization
NEA NEUROPSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN MICHELLE HENDRIX (OFFICE COORDINATOR)
(870) 203-6085
Entity
Organization
Contact information
Practice address
304 SOUTHWEST SQ, JONESBORO, AR 72401-5984
(870) 203-6085
(870) 203-6083
Mailing address
PO BOX 16374, JONESBORO, AR 72403-6706
(870) 203-6085
(870) 203-6083
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11-05P
AR
103TC0700X
Clinical Psychologist
11-05P
AR
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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