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General NPI Number Information
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NPI Number | 1306976477
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Entity Type | Organization
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Legal Business Name | CLINICAL PSYCHOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 CORPORATE HILL DR STE 205
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4541
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Country | US
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Telephone | 501-223-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CORPORATE HILL DR STE 205
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4541
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Country | US
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Telephone | 501-223-8883
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST-PRESIDENT
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Name | DR. PATRICIA L. GRIFFEN
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Credential | PH.D
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Telephone | 501-223-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | AR796P
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License Number State | AR
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