Individual
MARY E IRWIN CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3291 S THOMPSON ST, SPRINGDALE, AR 72764-7043
(479) 751-3350
Mailing address
3291 S THOMPSON ST, SPRINGDALE, AR 72764-7043
(479) 751-3350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
91-20P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50047000000
QUAL CHOICE
AR
01
—
7789378
AETNA
AR
01
—
IRWCLAME
CORP HEALTH
AR
Enumeration date
03/21/2006
Last updated
03/31/2008
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