Wellformed AI

NPI 1366481780 · live from the CMS NPI Registry

Clinical Psychology Of Fort Smith, LLC

Psychologist, Clinical in Fort Smith, AR. National Provider Identifier 1366481780, active.

NPI record

NPI1366481780 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location3801 Rogers Ave, Fort Smith, AR 72903
Practice phone479-783-0445
EnumeratedJune 5, 2006
Last updatedJuly 29, 2021
Authorized officialPhillip Barling, Clinical Psychologist, LLC/Partner

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.