| Gene Chambers Phd Pllc | |
|
2592 N Gregg Ave Ste 16 Fayetteville AR 72703-5543 | |
| (479) 313-6333 | |
| (479) 313-6168 |
| Full Name | Gene Chambers Phd Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2592 N Gregg Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Gene Chambers (OWNER) |
| Authorized Official Contact | 4793136333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Chambers Phd Pllc 2592 N Gregg Ave Ste 16 Fayetteville AR 72703-5543 Ph: (479) 313-6333 | Gene Chambers Phd Pllc 2592 N Gregg Ave Ste 16 Fayetteville AR 72703-5543 Ph: (479) 313-6333 |
| NPI Number | 1205375250 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 2567746282 |
|---|---|
| Medicare Enrollment ID | O20170224000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205375250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Harvey G Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871527267 PECOS PAC ID: 8820071368 Enrollment ID: I20040617001202 |
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