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Organization

PSYCHIATRIC ASSOCIATES OF ARKANSAS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUNNI D THROGMORTON (CREDENTIALING SPECIALIST)
(501) 228-7400
Entity
Organization

Contact information

Practice address
9601 BAPTIST HEALTH DR STE 1050, LITTLE ROCK, AR 72205-6379
(501) 228-7400
(501) 537-7412
Mailing address
9601 BAPTIST HEALTH DR STE 1050, LITTLE ROCK, AR 72205-6379
(501) 228-7400
(501) 978-5726

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
AR
1041C0700X
Clinical Social Worker
AR
2084P0800X
Psychiatry Physician
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133291002
AR
01
57031
BLUECROSS AND BLUESHIELD
AR
Enumeration date
12/05/2006
Last updated
11/20/2019
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