| Conway Psychological Assessment Center | |
|
1210 Hogan Ln Suite 200 Conway AR 72034-8001 | |
| (501) 932-0255 | |
| (501) 932-0258 |
| Full Name | Conway Psychological Assessment Center |
|---|---|
| Speciality | Psychologist |
| Location | 1210 Hogan Ln, Conway, Arkansas |
| Authorized Official Name and Position | Kim Dielmann (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5019320255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Psychological Assessment Center 1210 Hogan Ln Suite 200 Conway AR 72034-8001 Ph: (501) 932-0255 | Conway Psychological Assessment Center 1210 Hogan Ln Suite 200 Conway AR 72034-8001 Ph: (501) 932-0255 |
| NPI Number | 1255697330 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Medicare PECOS PAC ID | 5991961989 |
|---|---|
| Medicare Enrollment ID | O20120718000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255697330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 07-27P (Arkansas) | Primary |
| Provider Name | Kim B Dielmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538371190 PECOS PAC ID: 0244496230 Enrollment ID: I20190930000251 |
Dayspring Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Bruce St, Conway, AR 72034 Phone: 501-336-0100 Fax: 501-336-0115 | |
An Embraced Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1422 Caldwell St, Suite H, Conway, AR 72034 Phone: 501-499-9231 Fax: 501-904-4373 | |
Catalyst Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Wingate St Ste E2, Conway, AR 72034 Phone: 501-500-4114 Fax: 501-764-4555 | |
Community Service Inc. - Conway Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 N Creek Dr, Conway, AR 72032 Phone: 501-327-9788 Fax: 501-327-9843 | |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 Prince St, Conway, AR 72034 Phone: 341-888-7637 | |
Therapy Assessment Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-291-3091 Fax: 501-588-0484 | |
Lighted Path Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Oak St, Suite 250, Conway, AR 72032 Phone: 804-592-1205 Fax: 866-388-8128 |