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NPI Code Detail

MEDICARE: MS. RISSA D. SHEARER L.P.C.

MEDICARE: MS. RISSA D. SHEARER L.P.C.
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
1101YP2500XProfessional CounselorP0104018AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160054OTHERARAETNA
22204691OTHERARCIGNA BEHAVIORAL HEALTH
35S961OTHERARBLUE CROSS & BLUE SHIELD
4962419OTHERARUSA MANAGED CARE
522783OTHERARMHN NETWORK
64100021400OTHERARQUAL-CHOICE
7531999OTHERARVALUE OPTIONS

General Provider Information

NPI Number : 1285606293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RISSA D. SHEARER L.P.C.
Provider Business Mailing Address
First Line : PO BOX 6399
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71902-6399
Country : US
Telephone Number : 501-624-7111
Fax Number : 501-620-5109
Provider Business Practice Location Address
First Line : 700 SOUTH AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3423
Country : US
Telephone Number : 501-624-7111
Fax Number : 501-620-5109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 07/08/2007

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1689647638 — MS. JUDITH L. LIEBLONG L.S.W.
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1730154626 — MS. KIMBERLEY L. STECKER LPC
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1124041736 — DR. KAREN M HINERMAN PHARM.D.
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Practice Fax:

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