Clinical Psychology Of Fort Smith, Llc | |
3801 Rogers Ave Fort Smith AR 72903-3045 | |
(479) 783-0445 | |
(479) 782-5883 |
Full Name | Clinical Psychology Of Fort Smith, Llc |
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Speciality | Psychologist |
Location | 3801 Rogers Ave, Fort Smith, Arkansas |
Authorized Official Name and Position | Phillip W Barling (CLINICAL PSYCHOLOGIST, LLC/PARTNER) |
Authorized Official Contact | 4797830445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinical Psychology Of Fort Smith, Llc 3801 Rogers Ave Fort Smith AR 72903-3045 Ph: (479) 783-0445 | Clinical Psychology Of Fort Smith, Llc 3801 Rogers Ave Fort Smith AR 72903-3045 Ph: (479) 783-0445 |
NPI Number | 1366481780 |
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Provider Enumeration Date | 06/05/2006 |
Last Update Date | 07/29/2021 |
Certification Date | 07/29/2021 |
Medicare PECOS PAC ID | 4981681020 |
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Medicare Enrollment ID | O20040706001345 |
Identifier | Type | State | Issuer |
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1366481780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Phillip W. Barling |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184661357 PECOS PAC ID: 2163409202 Enrollment ID: I20100819000079 |
Provider Name | Candace Jill York |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215269279 PECOS PAC ID: 6709238967 Enrollment ID: I20240123004740 |
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