Healthcare Provider Details

I. General information

NPI: 1851501803
Provider Name (Legal Business Name): GARRETT ANDREWS PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 RIVERFRONT DR APT. 1437
LITTLE ROCK AR
72202-2208
US

IV. Provider business mailing address

UNIVERISTY OF ARKANSAS FOR MEDICAL SCIENCES-GERIATRICS 4301 W. MARKHAM ST. #547-13
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-353-0948
  • Fax:
Mailing address:
  • Phone: 501-686-6219
  • Fax: 501-686-6234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number07-17P
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: