NPI 1174826499

Center for Pediatric Neuroscience, PLLC

Organisation Clinical Neuropsychologist Jonesboro, AR

Practice location

Address: 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346
Phone: (870) 932-4245
Mailing address: PO Box 814, Walnut Ridge, AR 72476-0814

Authorised official

Name: Job D Caspall
Title: Business Manager
Phone: (901) 603-9936

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 11-16P (AR)

Other Clinical Neuropsychologist providers in Arkansas →

Registry record

NPI: 1174826499
Entity type: Organization
NPI issued: 8 Dec 2010
Record last updated: 10 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.