Individual
DR. JON ETIENNE MOUROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2601 KAVANAUGH BLVD, SUITE 5, LITTLE ROCK, AR 72205-3990
(501) 663-8990
Mailing address
2601 KAVANAUGH BLVD, SUITE 5, LITTLE ROCK, AR 72205-3990
(501) 663-8990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8-1
AR
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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