| Tara M. Cole, Ph.d., P.a. | |
|
3214 Nw Avignon Way Suite 2 Bentonville AR 72712-3916 | |
| (479) 271-8778 | |
| (888) 207-6093 |
| Full Name | Tara M. Cole, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3214 Nw Avignon Way, Bentonville, Arkansas |
| Authorized Official Name and Position | Tara M Cole (PRESIDENT) |
| Authorized Official Contact | 4792718778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara M. Cole, Ph.d., P.a. 3214 Nw Avignon Way Suite 2 Bentonville AR 72712-3916 Ph: (479) 271-8778 | Tara M. Cole, Ph.d., P.a. 3214 Nw Avignon Way Suite 2 Bentonville AR 72712-3916 Ph: (479) 271-8778 |
| NPI Number | 1619307204 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619307204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 09-14P (Arkansas) | Primary |
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