| Clinical Psychology For Health And Performance Pa | |
|
3401 Rogers Ave Ste B Fort Smith AR 72903-2986 | |
| (479) 242-4560 | |
| Not Available |
| Full Name | Clinical Psychology For Health And Performance Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3401 Rogers Ave Ste B, Fort Smith, Arkansas |
| Authorized Official Name and Position | Anitra S. Fay (PRESIDENT) |
| Authorized Official Contact | 4796671217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology For Health And Performance Pa 11347 Honeysuckle Rd Ozark AR 72949-9676 Ph: (479) 667-1217 | Clinical Psychology For Health And Performance Pa 3401 Rogers Ave Ste B Fort Smith AR 72903-2986 Ph: (479) 242-4560 |
| NPI Number | 1255605572 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255605572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 82-01P (Arkansas) | Primary |
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