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Contact Information

MATTHEW J. CROUCH, MD, PLLC
1 W SUNBRIDGE DR
FAYETTEVILLE, AR72703-1825
 Phone: 479-442-5437
 Fax: 479-521-5996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MATTHEW J. CROUCH, MD, PLLC

NPI Number 1316118326
LBN Legal business name MATTHEW J. CROUCH, MD, PLLC
Authorized official LAVONNA LATTA - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2008
Last updated 07/30/2008 - About 18 years ago
Identifiers
AR License # E4759
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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