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NPI Code Detail

MEDICARE: KAMRA ELIZABETH MAYS PH.D.

MEDICARE: KAMRA ELIZABETH MAYS PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist07-13PAR
2103TB0200XCognitive & Behavioral Psychologist07-13PAR
3103TH0004XHealth Psychologist07-13PAR
4103TH0100XHealth Service Psychologist07-13PAR
5103TC0700XClinical Psychologist07-13PAR

General Provider Information

NPI Number : 1073734919
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMRA ELIZABETH MAYS PH.D.
Provider Business Mailing Address
First Line : 1426 WATER WAY DR
Second Line :
City : CAVE SPRINGS
State : AR
Zip : 72718
Country : US
Telephone Number : 870-939-7606
Fax Number :
Provider Business Practice Location Address
First Line : 1720 S WALTON BLVD STE 6
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-7533
Country : US
Telephone Number : 870-939-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/15/2019

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