Organization
ROBERT L SPRAY JR PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. SPRAY JR. PH.D. (PRESIDENT)
(479) 452-1658
Entity
Organization
Contact information
Practice address
3104 S 70TH ST, SUITE #103, FORT SMITH, AR 72903-5018
(479) 452-1658
(479) 452-3865
Mailing address
PO BOX 10105, FORT SMITH, AR 72917-0105
(479) 452-1658
(479) 452-3865
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
75-18P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105861719
—
AR
01
—
56447
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/19/2006
Last updated
03/14/2011
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