Janice Church, PHD | |
11 Childrens Way # 401, Little Rock, AR 72202-3500 | |
(501) 364-3810 | |
(501) 364-3416 |
Full Name | Janice Church |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 11 Childrens Way # 401, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295825859 | NPI | - | NPPES |
141633001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 92-1P (Arkansas) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Mailing Address | Practice Location Address |
---|---|
Janice Church, PHD 11 Childrens Way # 401, Little Rock, AR 72202-3500 Ph: (501) 364-3810 | Janice Church, PHD 11 Childrens Way # 401, Little Rock, AR 72202-3500 Ph: (501) 364-3810 |
Stephen Clark, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10025 W. Markham Street, Ste 210, Little Rock, AR 72205 Phone: 501-663-4673 Fax: 501-801-1816 | |
Mark Edwards, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Marshall St # 653, Little Rock, AR 72202 Phone: 501-364-1100 | |
Dr. Melissa Lee Wright, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1210 Wolfe St, Little Rock, AR 72202 Phone: 501-364-3810 Fax: 501-364-3816 | |
Larry Clarke, PH.D. (PSYCHOLOGIST) Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11219 Financial Centre Pkwy, Suite 310, Little Rock, AR 72211 Phone: 501-224-8393 Fax: 501-224-2849 | |
Mrs. Zenobia Carter, M.S. LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Forest Pl, Little Rock, AR 72207 Phone: 501-666-8686 Fax: 501-660-6838 | |
Brittani Baldwin Gracey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 305 S Palm St, Little Rock, AR 72205 Phone: 507-686-9000 | |
Laura Goodhart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1301 Wolfe St, Little Rock, AR 72202 Phone: 501-372-2768 Fax: 501-978-6492 |