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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