| Rice Clinic | |
|
1301 Wilson Road Little Rock AR 72205-6659 | |
| (501) 225-0576 | |
| (501) 225-6789 |
| Full Name | Rice Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 1301 Wilson Road, Little Rock, Arkansas |
| Authorized Official Name and Position | Abeer Washington (PRACTICE OWNER) |
| Authorized Official Contact | 5012250576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rice Clinic 1301 Wilson Road Little Rock AR 72205-6659 Ph: (501) 225-0576 | Rice Clinic 1301 Wilson Road Little Rock AR 72205-6659 Ph: (501) 225-0576 |
| NPI Number | 1932174836 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 5698142248 |
|---|---|
| Medicare Enrollment ID | O20221110001852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932174836 | NPI | - | NPPES |
| 1932174836 | Other | AR | CLINIC NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Arkansas) | Primary |
| Provider Name | Florence Maurine Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396742706 PECOS PAC ID: 0941195564 Enrollment ID: I20040220000810 |
| Provider Name | Virginia A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841388063 PECOS PAC ID: 3072514488 Enrollment ID: I20070129000223 |
| Provider Name | Diane C. Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261282 PECOS PAC ID: 5698814804 Enrollment ID: I20091203000398 |
| Provider Name | Mary L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154343499 PECOS PAC ID: 1355535220 Enrollment ID: I20101104000757 |
| Provider Name | Robert L Rice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194722579 PECOS PAC ID: 3173550019 Enrollment ID: I20110107000575 |
| Provider Name | Abeer Washington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194910620 PECOS PAC ID: 7416127410 Enrollment ID: I20110831000135 |
| Provider Name | Kimberlee Sartain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619487733 PECOS PAC ID: 9133486228 Enrollment ID: I20171128000992 |
| Provider Name | Cara Jane Meckfessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385009 PECOS PAC ID: 4385072412 Enrollment ID: I20200324000082 |
| Provider Name | Fabiola C Obregon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427577089 PECOS PAC ID: 0840546420 Enrollment ID: I20220905000279 |
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