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Organization

JACQUELYN LANGE-HALLEY MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL CULLEN (MANAGER)
(501) 223-9948
Entity
Organization

Contact information

Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764
(501) 223-9948
Mailing address
11401 N RODNEY PARHAM RD STE 4, LITTLE ROCK, AR 72212-4168
(501) 223-9948

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/16/2018
Last updated
08/14/2018
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