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NW ARKANSAS PSYCHOLOGICAL GROUP INC NPI 1598864043


NPI Information

NPI: 1598864043
Provider Name: NW ARKANSAS PSYCHOLOGICAL GROUP INC

Doing Business As: NORTHWEST AR PSYCHOLOGICAL GROUP

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1706 E JOYCE BLVD
SUITE 3
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 442-9381
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NW ARKANSAS PSYCHOLOGICAL GROUP INC is a clinical psychologist in Fayetteville, AR. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NW ARKANSAS PSYCHOLOGICAL GROUP INC NPI is 1598864043. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Ar Psychological Group.

The provider's business location address is:

1706 E JOYCE BLVD
SUITE 3
FAYETTEVILLE, AR
ZIP 72703-238
Phone: (479) 442-9381
Fax: (479) 442-9396

The provider's authorized official is Diane P Back .
The authorized official title is Office Manager and has the following contact phone number (479) 442-9381.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2008.


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
1103TC0700XPsychologistClinical78-18 PARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F628MEDICARE UPINARKANSAS
25F628MEDICARE PIN

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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