Individual
MS. REBECCA L TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
2101 OLD CONGO RD, SUITE F900, BENTON, AR 72015
(501) 794-6557
(501) 794-6545
Mailing address
2101 OLD CONGO RD, SUITE F900, BENTON, AR 72015
(501) 794-6557
(501) 794-6545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10-04P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-04P
LICENSE
AR
Enumeration date
03/29/2010
Last updated
05/15/2025
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