Organization
CONSULTING PSYCHOLOGY OF WESTERN ARKANSAS, INC.
Active
Organization
CONSULTING PSYCHOLOGY OF WESTERN ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY JONES (OFFICE MANAGER)
(479) 785-1995
Entity
Organization
Contact information
Practice address
1100 S WALDRON RD, FORT SMITH, AR 72903-2552
(479) 785-1995
(479) 785-4248
Mailing address
1401 S WALDRON RD STE 206, FORT SMITH, AR 72903-2590
(479) 785-1995
(479) 785-4248
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
90-18P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118624719
—
AR
Enumeration date
03/02/2011
Last updated
04/17/2018
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