Dr John Harold Childers Jr, ED D is a
Psychologist - Clinical based in Springdale, Arkansas. Dr John Harold Childers Jr is licensed to practice in Arkansas (license number 7819P) and his current practice location is
601 W Maple Ave, Suite 502, Springdale, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 751-8992.
NPI number for Dr John Harold Childers Jr is 1649335399 and his current mailing address is 601 W Maple Ave, Suite 502, Springdale, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649335399.
Healthcare Provider's Profile
| Full Name | Dr John Harold Childers Jr |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 601 W Maple Ave, Springdale, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649335399
- Provider Enumeration Date: 12/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Harold Childers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649335399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | P8103079 (Arkansas) | Primary |
| 103TC0700X | Psychologist - Clinical | 7819P (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Harold Childers Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Harold Childers Jr, ED D
601 W Maple Ave, Suite 502,
Springdale, AR 72764-5335
Ph: (479) 751-8992 | Dr John Harold Childers Jr, ED D
601 W Maple Ave, Suite 502,
Springdale, AR 72764-5335
Ph: (479) 751-8992 |
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