NPI 1295825859 · live from the CMS NPI Registry
Janice Church, PhD
Psychologist, Clinical Child & Adolescent in Little Rock, AR. National Provider Identifier 1295825859, active.
NPI record
| NPI | 1295825859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 11 Childrens Way # 401, Little Rock, AR 72202 |
| Practice phone | 501-364-3810 |
| Enumerated | October 13, 2006 |
| Last updated | January 7, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 92-1P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.