Individual
DR. ANN MARIE PRATHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1501 N UNIVERSITY AVE, SUITE 205, LITTLE ROCK, AR 72207-5242
(501) 296-9220
(501) 296-9984
Mailing address
1501 N UNIVERSITY AVE, SUITE 205, LITTLE ROCK, AR 72207-5242
(501) 296-9220
(501) 296-9984
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
95-25P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T126
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/12/2006
Last updated
07/09/2007
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