Organization
UNIVERSITY OF CENTRAL ARKANSAS
Active
Organization
UNIVERSITY OF CENTRAL ARKANSAS
Active
Other names
Interprofessional Teaching Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD LAIRAMORE PT, PHD (ASSOCIATE DEAN)
(501) 852-2911
Entity
Organization
Contact information
Practice address
2200 BRUCE ST, CONWAY, AR 72035-5001
(501) 470-7457
(501) 504-2105
Mailing address
2200 BRUCE ST., STE 101, CONWAY, AR 72034-6108
(501) 470-7457
(501) 470-7457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LF0000X
Family Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2022
Last updated
06/16/2023
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