NPI 1396574679 · live from the CMS NPI Registry
Marlyn Chakwera
Psychologist, Clinical in Little Rock, AR. National Provider Identifier 1396574679, active.
NPI record
| NPI | 1396574679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 4301 W Markham St # 568, Little Rock, AR 72205 |
| Practice phone | 501-320-7302 |
| Mailing address | 1909 S Arch St, Little Rock, AR 72206 |
| Enumerated | July 26, 2024 |
| Last updated | August 23, 2024 |
| Sole proprietor | Yes |
| Other names | Marlyn Chimombo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 202329 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.