Individual
DR. MARY ELLEN ZIOLKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
206 N. 5TH STREET, BLYTHEVILLE, AR 72315-8086
(870) 762-2251
(870) 762-2251
Mailing address
P.O. BOX 875, BLYTHEVILLE, AR 72315
(870) 762-2251
(870) 762-2251
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
91-23P
AR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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