| Gilchrist Psychological Services Llc | |
|
522 W Washington Ave Jonesboro AR 72401-2780 | |
| (870) 934-8127 | |
| (870) 933-8919 |
| Full Name | Gilchrist Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 522 W Washington Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Daniel Gilchrist (OWNER) |
| Authorized Official Contact | 8709348127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilchrist Psychological Services Llc 522 W Washington Ave Jonesboro AR 72401-2780 Ph: (870) 934-8127 | Gilchrist Psychological Services Llc 522 W Washington Ave Jonesboro AR 72401-2780 Ph: (870) 934-8127 |
| NPI Number | 1740625177 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 07/19/2013 |
| Medicare PECOS PAC ID | 1951542836 |
|---|---|
| Medicare Enrollment ID | O20130719000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740625177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel W Gilchrist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316970049 PECOS PAC ID: 9436390218 Enrollment ID: I20130720000243 |
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