| Living Well, Pa | |
|
1225 Breckenridge Dr Suite 204 Little Rock AR 72205-1558 | |
| (501) 255-1574 | |
| (501) 255-1446 |
| Full Name | Living Well, Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1225 Breckenridge Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Jody Lynn Hagen (PRESIDENT) |
| Authorized Official Contact | 5012551574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well, Pa Po Box 206 Mabelvale AR 72103-0206 Ph: (501) 255-1574 | Living Well, Pa 1225 Breckenridge Dr Suite 204 Little Rock AR 72205-1558 Ph: (501) 255-1574 |
| NPI Number | 1316197759 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316197759 | NPI | - | NPPES |
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