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NPI 1770822652 · live from the CMS NPI Registry

Disability Treatment Centers Of Arkansas

Pediatrics, Developmental - Behavioral Pediatrics in Little Rock, AR. National Provider Identifier 1770822652, active.

NPI record

NPI1770822652 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Developmental - Behavioral Pediatrics 2080P0006X
Practice location11524 N Rodney Parham Rd, Suite 8b, Little Rock, AR 72212
Practice phone501-219-8043
EnumeratedFebruary 12, 2013
Last updatedFebruary 12, 2013
Authorized officialSuzy Robertson, Manager

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Developmental - Behavioral Pediatrics primary2080P0006XE-6933 (AR)

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