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Individual

ROLLIE W FLAHERTY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
412 N VINE, MAGNOLIA, AR 71753-2842
(870) 234-7500
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
784P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56158
BLUE CROSS
AR
Enumeration date
03/09/2006
Last updated
07/08/2007
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