| Paul W. Peterson Llc | |
|
701 Nw Mcnelly Rd Ste 9 Bentonville AR 72712-9160 | |
| (501) 260-7324 | |
| Not Available |
| Full Name | Paul W. Peterson Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 701 Nw Mcnelly Rd Ste 9, Bentonville, Arkansas |
| Authorized Official Name and Position | Paul Peterson (OWNER) |
| Authorized Official Contact | 5012607324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W. Peterson Llc Po Box 5922 Bella Vista AR 72714-0922 Ph: (501) 260-7324 | Paul W. Peterson Llc 701 Nw Mcnelly Rd Ste 9 Bentonville AR 72712-9160 Ph: (501) 260-7324 |
| NPI Number | 1790675908 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790675908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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