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Organization

NW ARKANSAS PSYCHOLOGICAL GROUP INC

Active
Other names
NORTHWEST AR PSYCHOLOGICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE P BACK R.N. (OFFICE MANAGER)
(479) 442-9381
Entity
Organization

Contact information

Practice address
1706 E JOYCE BLVD, SUITE 3, FAYETTEVILLE, AR 72703-5238
(479) 442-9381
(479) 442-9396
Mailing address
1706 E JOYCE BLVD, SUITE 3, FAYETTEVILLE, AR 72703
(479) 442-9381
(479) 442-9396

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
78-18 P
AR

Other

Enumeration date
09/21/2006
Last updated
07/08/2008
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