| Donna M Van Kirk Edd Pllc | |
|
204 N East Ave Fayetteville AR 72701-5225 | |
| (479) 466-9609 | |
| (479) 442-5587 |
| Full Name | Donna M Van Kirk Edd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 204 N East Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Donna M Van Kirk (PSYCHOLOGIST) |
| Authorized Official Contact | 4794669609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna M Van Kirk Edd Pllc 31 S Kestrel Dr Fayetteville AR 72701-1322 Ph: (479) 466-9609 | Donna M Van Kirk Edd Pllc 204 N East Ave Fayetteville AR 72701-5225 Ph: (479) 466-9609 |
| NPI Number | 1659737575 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Medicare PECOS PAC ID | 6608170766 |
|---|---|
| Medicare Enrollment ID | O20160210000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659737575 | NPI | - | NPPES |
| 116603719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 82-P10 (Arkansas) | Primary |
| Provider Name | Donna Van Kirk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235167578 PECOS PAC ID: 3870698376 Enrollment ID: I20070411000361 |
Healing Spirit Therapies, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N East Ave, #201, Fayetteville, AR 72701 Phone: 479-200-8472 Fax: 479-442-2881 | |
Still Waters Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3313 W Mount Comfort Rd, Fayetteville, AR 72704 Phone: 479-263-7602 Fax: 479-443-2892 | |
Marie W. Wood Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N East Ave, Fayetteville, AR 72701 Phone: 479-521-9696 | |
Spectrum Living Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3677 W Weir Rd, Fayetteville, AR 72704 Phone: 479-871-2481 | |
Rita Cruz-collins Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 N College Ave, Fayetteville, AR 72703 Phone: 479-305-2907 | |
Stone Path Counseling, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Poplar St Ste C, Fayetteville, AR 72703 Phone: 479-435-6047 Fax: 479-755-3595 | |
Wellness Solutions Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N East Ave, Suite 101, Fayetteville, AR 72701 Phone: 479-435-6679 |