Individual
GARY J. OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W UNIVERSITY ST, SILOAM SPRINGS, AR 72761-2112
(479) 524-7105
Mailing address
1450 AVERY PL, SILOAM SPRINGS, AR 72761-2249
(479) 524-7105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
98-21P
AR
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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