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General NPI Number Information
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NPI Number | 1760087902
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH PSYCHOLOGY & TESTING
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 3101 CLUB MANOR DR STE A
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City | MAUMELLE
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State | AR
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Zip | 72113-6088
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Country | US
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Telephone | 501-271-8121
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Fax | 866-573-0780
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Provider Business Mailing Address
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Address Line | 3101 CLUB MANOR DR STE A
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City | MAUMELLE
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State | AR
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Zip | 72113-6088
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Country | US
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Telephone | 501-271-8121
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Fax | 866-573-0780
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARIAN L. SMITH
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Credential | PH.D.
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Telephone | 501-271-8121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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