Individual
MICHAEL E WYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1420 LONGVIEW DR, BOONEVILLE, AR 72927-3830
(479) 675-6392
Mailing address
1420 LONGVIEW DR, BOONEVILLE, AR 72927-3830
(479) 675-6392
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
80-15P
AR
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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