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Contact Information

NICHOLAS MITRANI, LPE-I
4206 PRINCE STREET
CONWAY, AR72034-9398
 Phone: 501-932-0255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NICHOLAS MITRANI · (Male)

NPI Number 1629426770
Status Active
Credentials LPE-I
Entity Individual
Enumeration date 05/31/2016
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 18-22P
  • AR Medicaid 232944719
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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