Individual
MARY JO MCLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
Mailing address
3516 RIDGE RD, NORTH LITTLE ROCK, AR 72116-8757
(501) 812-5352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
98-8P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98-8P
PSYCHOLOGIST LICENSE NUMB
AR
Enumeration date
06/04/2007
Last updated
05/08/2008
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