Individual
DR. MARK HINTERTHUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4300 WEST 7TH STREET, MAIL STOP 116B/NLR, CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM, LITTLE ROCK, AR 72205
(501) 257-3231
(501) 257-1671
Mailing address
37 KINGS RIVER ROAD, NORTH LITTLE ROCK, AR 72116
(501) 791-7511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
80-19P
AR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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