| Cara Hartfield Phd Licensed Psychologist Plc | |
|
112 W Center St Suite 215 Fayetteville AR 72701-6073 | |
| (479) 409-2212 | |
| (479) 439-8550 |
| Full Name | Cara Hartfield Phd Licensed Psychologist Plc |
|---|---|
| Speciality | Psychologist |
| Location | 112 W Center St, Fayetteville, Arkansas |
| Authorized Official Name and Position | Cara Rose Hartfield (OWNER) |
| Authorized Official Contact | 4794092212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cara Hartfield Phd Licensed Psychologist Plc 112 W Center St Suite 215 Fayetteville AR 72701-6073 Ph: (479) 409-2212 | Cara Hartfield Phd Licensed Psychologist Plc 112 W Center St Suite 215 Fayetteville AR 72701-6073 Ph: (479) 409-2212 |
| NPI Number | 1639407554 |
|---|---|
| Provider Enumeration Date | 12/04/2009 |
| Last Update Date | 12/04/2009 |
| Medicare PECOS PAC ID | 5890835094 |
|---|---|
| Medicare Enrollment ID | O20091219000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639407554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 06-15P (Arkansas) | Primary |
| Provider Name | Cara R Hartfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922004787 PECOS PAC ID: 6709951965 Enrollment ID: I20091103000179 |
| Provider Name | Reagan A Funkhouser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639339534 PECOS PAC ID: 6901042118 Enrollment ID: I20130412000577 |
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