| Clinical Neuropsych, Pa | |
|
1201 Fleming Ave Jonesboro AR 72401-4311 | |
| (870) 933-5174 | |
| Not Available |
| Full Name | Clinical Neuropsych, Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1201 Fleming Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Dan A Johnson (CLINICAL NEUROPSYCHOLOGIST; OWNER) |
| Authorized Official Contact | 8709335174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Neuropsych, Pa 1201 Fleming Ave Jonesboro AR 72401-4311 Ph: (870) 933-5174 | Clinical Neuropsych, Pa 1201 Fleming Ave Jonesboro AR 72401-4311 Ph: (870) 933-5174 |
| NPI Number | 1740579069 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740579069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 09-61AE (Arkansas) | Primary |
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