| Robert S. Maris Ph.d., P.a. | |
|
7 Office Park Dr Suite 120 Little Rock AR 72211-3843 | |
| (501) 219-2419 | |
| (501) 219-2429 |
| Full Name | Robert S. Maris Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 7 Office Park Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Robert S Maris (OWNER/PRESIDENT) |
| Authorized Official Contact | 5012192419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S. Maris Ph.d., P.a. 7 Office Park Dr Suite 120 Little Rock AR 72211-3843 Ph: (501) 219-2419 | Robert S. Maris Ph.d., P.a. 7 Office Park Dr Suite 120 Little Rock AR 72211-3843 Ph: (501) 219-2419 |
| NPI Number | 1023338365 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Medicare PECOS PAC ID | 0840321360 |
|---|---|
| Medicare Enrollment ID | O20100628000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023338365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 79-22P (Arkansas) | Primary |
| Provider Name | Robert S Maris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083676092 PECOS PAC ID: 4284765702 Enrollment ID: I20100706000531 |
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