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Contact Information

REBECCA L TILLEY, PSY D.
2101 OLD CONGO RD
SUITE F900
BENTON, AR72015
 Phone: 501-794-6557
 Fax: 501-794-6545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REBECCA L TILLEY · (Female)

NPI # 1851616239
Status Active
Credentials PSY D.
Entity Individual
Enumeration date 03/29/2010
Last updated 05/15/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 10-04P
  • AR Other 10-04P LICENSE
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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