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Contact Information

WASHINGTON REGIONAL MEDICAL SYSTEM
3215 N NORTHHILLS BLVD
WASHINGTON REGIONAL PSYCHIATRIC CLINIC
FAYETTEVILLE, AR72703-4424
 Phone: 479-463-2004
 Fax: 479-463-7864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WASHINGTON REGIONAL MEDICAL SYSTEM · (Female)

NPI Number 1366408973
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2006
Last updated 09/20/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 148784002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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