NPI 1730327461 · live from the CMS NPI Registry
Carlton H. Burge, P.A
Psychologist in Little Rock, AR. National Provider Identifier 1730327461, active.
NPI record
| NPI | 1730327461 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1 Innwood Cir, Little Rock, AR 72211 |
| Practice phone | 501-224-6888 |
| Mailing address | 1 Innwood Cir, Ste 103, Little Rock, AR 72211 |
| Enumerated | February 3, 2009 |
| Last updated | February 4, 2009 |
| Authorized official | Carlton Burge, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 0608p (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.