| South Wind Psychological Services | |
|
3333 S Pinnacle Hills Pkwy Ste 435 Rogers AR 72758-9095 | |
| (479) 235-4146 | |
| Not Available |
| Full Name | South Wind Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3333 S Pinnacle Hills Pkwy Ste 435, Rogers, Arkansas |
| Authorized Official Name and Position | Alison Tait (PRESIDENT) |
| Authorized Official Contact | 7017409624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Wind Psychological Services 11127 E Stonebriar Dr Bentonville AR 72712-8064 Ph: (701) 740-9624 | South Wind Psychological Services 3333 S Pinnacle Hills Pkwy Ste 435 Rogers AR 72758-9095 Ph: (479) 235-4146 |
| NPI Number | 1205369824 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 4486094398 |
|---|---|
| Medicare Enrollment ID | O20240425002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205369824 | NPI | - | NPPES |
| Provider Name | Alison N Tait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366479669 PECOS PAC ID: 1153354600 Enrollment ID: I20180718001385 |
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