| Psychologyworks, Pllc | |
|
2307 Sw Montana Ave Bentonville AR 72713-9259 | |
| (833) 779-9675 | |
| Not Available |
| Full Name | Psychologyworks, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2307 Sw Montana Ave, Bentonville, Arkansas |
| Authorized Official Name and Position | Stephanie E Steele-wren (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4793876172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychologyworks, Pllc 2307 Sw Montana Ave Bentonville AR 72713-9259 Ph: () - | Psychologyworks, Pllc 2307 Sw Montana Ave Bentonville AR 72713-9259 Ph: (833) 779-9675 |
| NPI Number | 1588256697 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Medicare PECOS PAC ID | 1254717432 |
|---|---|
| Medicare Enrollment ID | O20220927000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588256697 | NPI | - | NPPES |
| 1881019867 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Stephanie Elizabeth Steele-wren |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1881019867 PECOS PAC ID: 8123402096 Enrollment ID: I20220826002595 |
| Provider Name | Stephanie Elizabeth Steele-wren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881019867 PECOS PAC ID: 8123402096 Enrollment ID: I20221207001489 |
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