| The Mental Fitness Center Of The Ozarks,inc | |
|
715 W Sherman Ave Ste F Harrison AR 72601-2743 | |
| (870) 577-2830 | |
| (871) 741-3457 |
| Full Name | The Mental Fitness Center Of The Ozarks,inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 715 W Sherman Ave, Harrison, Arkansas |
| Authorized Official Name and Position | Stephen Robert Harris (PRESIDENT) |
| Authorized Official Contact | 8705772830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Fitness Center Of The Ozarks,inc 128 Saint Andrews Cir Hideaway TX 75771-5056 Ph: () - | The Mental Fitness Center Of The Ozarks,inc 715 W Sherman Ave Ste F Harrison AR 72601-2743 Ph: (870) 577-2830 |
| NPI Number | 1588672638 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 05/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588672638 | NPI | - | NPPES |
| 101734719 | Medicaid | AR | |
| 56201 | Other | AR | BLUE CROSS IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 76 19P (Arkansas) | Primary |
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