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Individual

DR. RHONDA LAURENE TANNEHILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2268 HIGHWAY 8 E, NORMAN, AR 71960-8508
(870) 356-5718
(870) 356-5719
Mailing address
PO BOX 734, MOUNT IDA, AR 71957-0734
(870) 356-5718
(870) 356-5719

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
98-10P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137-635
MHS NUMBER
AR
01
184725
MANAGED HEALTH NETWORK ID
AR
05
227176719
AR
01
61-74982
UNITED BEHAVIORAL HEALTH
AR
01
710831320
PPO PLUS ID
AR
01
72099
AMERICAN LIFE PAYRO ID
AR
Enumeration date
08/22/2006
Last updated
01/09/2019
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