| River Valley Psychology Pllc | |
|
3101 West 2nd Ct Russellville AR 72801 | |
| (479) 567-5654 | |
| (479) 567-5661 |
| Full Name | River Valley Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3101 West 2nd Ct, Russellville, Arkansas |
| Authorized Official Name and Position | Leslie A Blanchard (OWNER) |
| Authorized Official Contact | 4795675654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Psychology Pllc P.o. Box 10323 Russellville AR 72812 Ph: (479) 567-5654 | River Valley Psychology Pllc 3101 West 2nd Ct Russellville AR 72801 Ph: (479) 567-5654 |
| NPI Number | 1235424326 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235424326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | P1611170 (Arkansas) | Secondary |
| 103T00000X | Psychologist | 09-16P (Arkansas) | Primary |
| 103TC0700X | Psychologist - Clinical | 09-16P (Arkansas) | Secondary |
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