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Organization

TARA M. COLE, PH.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA M COLE PH.D. (PRESIDENT)
(479) 271-8778
Entity
Organization

Contact information

Practice address
3214 NW AVIGNON WAY, SUITE 2, BENTONVILLE, AR 72712-3916
(479) 271-8778
(888) 207-6093
Mailing address
3214 NW AVIGNON WAY, SUITE 2, BENTONVILLE, AR 72712-3916
(479) 271-8778
(888) 207-6093

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
09-14P
AR

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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