Organization
CONWAY PSYCHOLOGICAL ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM DIELMANN PH.D. (CLINICAL DIRECTOR)
(501) 932-0255
Entity
Organization
Contact information
Practice address
1210 HOGAN LN, SUITE 200, CONWAY, AR 72034-8001
(501) 932-0255
(501) 932-0258
Mailing address
1210 HOGAN LN, SUITE 200, CONWAY, AR 72034-8001
(501) 932-0255
(501) 932-0258
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07-27P
AR
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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