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LIVING WELL PA NPI 1316197759


NPI Information

NPI: 1316197759
Provider Name: LIVING WELL, PA

Former Legal Business Name: LIVING WELL, PLLC

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1225 BRECKENRIDGE DR
SUITE 204
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 255-1574
Get Directions

LIVING WELL, PA is a clinical neuropsychologist in Little Rock, AR. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. LIVING WELL, PA NPI is 1316197759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Living Well, Pllc.

The provider's business location address is:

1225 BRECKENRIDGE DR
SUITE 204
LITTLE ROCK, AR
ZIP 72205-558
Phone: (501) 255-1574
Fax: (501) 255-1446

The provider's authorized official is Jody Lynn Hagen .
The authorized official title is President and has the following contact phone number (501) 255-1574.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 9/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical04-16PARKANSASNo
2103TC2200XPsychologistClinical Child & Adolescent04-16PARKANSASNo
3103G00000XClinical Neuropsychologist04-16PARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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