Organization
DEEN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA DEEN PHD (OWNER)
(501) 661-8207
Entity
Organization
Contact information
Practice address
2723 FOXCROFT RD, SUITE 320B, LITTLE ROCK, AR 72227-2455
(501) 690-2581
Mailing address
2316 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-4338
(501) 661-8207
(501) 661-0304
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B351
IND.NPI
AR
Enumeration date
12/04/2015
Last updated
12/04/2015
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