| Barry S Mcdonald Phd Pa | |
|
1811 So Olive St Pine Bluff AR 71601-6560 | |
| (870) 535-2513 | |
| Not Available |
| Full Name | Barry S Mcdonald Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1811 So Olive St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Barry Seaman Mcdonald (OWNER) |
| Authorized Official Contact | 8705352513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry S Mcdonald Phd Pa 1811 So Olive St Pine Bluff AR 71601-6560 Ph: (870) 535-2513 | Barry S Mcdonald Phd Pa 1811 So Olive St Pine Bluff AR 71601-6560 Ph: (870) 535-2513 |
| NPI Number | 1326255464 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326255464 | NPI | - | NPPES |
| 145943744 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 8717P (Arkansas) | Primary |
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