NPI 1316197759

Living Well, PA

Organisation Clinical Neuropsychologist Little Rock, AR

Practice location

Address: 1225 Breckenridge Dr Suite 204, Little Rock, AR 72205-1558
Phone: (501) 255-1574
Fax: (501) 255-1446
Mailing address: PO Box 206, Mabelvale, AR 72103-0206

Authorised official

Name: Jody Lynn Hagen
Title: President
Phone: (501) 255-1574

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 04-16P (AR)

Other Clinical Neuropsychologist providers in Arkansas →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 04-16P (AR)

Other Psychologist providers in Arkansas →

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 04-16P (AR)

Registry record

NPI: 1316197759
Entity type: Organization
NPI issued: 23 Sep 2008
Record last updated: 23 Sep 2008

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.