| Innovative Psychological Services, Inc. | |
|
2215 Wildwood Ave Sherwood AR 72120-5089 | |
| (501) 238-6560 | |
| Not Available |
| Full Name | Innovative Psychological Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2215 Wildwood Ave, Sherwood, Arkansas |
| Authorized Official Name and Position | Yousef Arfan Fahoum (INCORPORATOR/ORGANIZER) |
| Authorized Official Contact | 5012386560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychological Services, Inc. Po Box 241967 Little Rock AR 72223-0037 Ph: (501) 238-6560 | Innovative Psychological Services, Inc. 2215 Wildwood Ave Sherwood AR 72120-5089 Ph: (501) 238-6560 |
| NPI Number | 1558880153 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558880153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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