Nwaats, Pllc | |
26 E Meadow St Ste 1 Fayetteville AR 72701-5357 | |
(479) 790-6290 | |
Not Available |
Full Name | Nwaats, Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 26 E Meadow St Ste 1, Fayetteville, Arkansas |
Authorized Official Name and Position | Jennifer Moffitt (LPE-I) |
Authorized Official Contact | 4797906290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nwaats, Pllc Po Box 10681 Fayetteville AR 72703-0046 Ph: (479) 790-6290 | Nwaats, Pllc 26 E Meadow St Ste 1 Fayetteville AR 72701-5357 Ph: (479) 790-6290 |
NPI Number | 1265860985 |
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Provider Enumeration Date | 10/15/2013 |
Last Update Date | 10/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265860985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 08-10E (Arkansas) | Primary |
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