Organization
BRAINPOWER NEUROPSYCHOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE FRANK PH.D. (OWNER)
(479) 310-0264
Entity
Organization
Contact information
Practice address
26 E MEADOW ST, STE 4, FAYETTEVILLE, AR 72701-5320
(479) 310-0264
(888) 633-0366
Mailing address
26 E MEADOW ST, STE 4, FAYETTEVILLE, AR 72701-5320
(479) 310-0264
(888) 633-0366
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
16-23P
AR
261QM0850X
Adult Mental Health Clinic/Center
16-23P
AR
261QM0850X
Adult Mental Health Clinic/Center
P1403037
AR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
16-23P
AR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
P1403037
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217685744
—
AR
Enumeration date
01/20/2016
Last updated
05/18/2017
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