NPI 1790039949 · live from the CMS NPI Registry
Bryant Psychology And Behavioral Health
Psychologist in Bryant, AR. National Provider Identifier 1790039949, active.
NPI record
| NPI | 1790039949 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 23111 Interstate 30 S, Bryant, AR 72022 |
| Practice phone | 501-847-5040 |
| Enumerated | November 8, 2012 |
| Last updated | November 8, 2012 |
| Authorized official | Leah Carter, Psychologist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 06-32P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.