| Robert L Spray Jr Phd Pa | |
|
3104 S 70th St Suite #103 Fort Smith AR 72903-5018 | |
| (479) 452-1658 | |
| (479) 452-3865 |
| Full Name | Robert L Spray Jr Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3104 S 70th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Robert L. Spray (PRESIDENT) |
| Authorized Official Contact | 4794521658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Spray Jr Phd Pa Po Box 10105 Fort Smith AR 72917-0105 Ph: (479) 452-1658 | Robert L Spray Jr Phd Pa 3104 S 70th St Suite #103 Fort Smith AR 72903-5018 Ph: (479) 452-1658 |
| NPI Number | 1932281193 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932281193 | NPI | - | NPPES |
| 56447 | Other | AR | BLUE CROSS BLUE SHIELD |
| 105861719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 75-18P (Arkansas) | Primary |
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