| Douglas M Sell, PHD | |
|
Arkansas Dept. Of Correction, 100 Walco Lane, Malvern, AR 72104 | |
| (501) 467-3485 | |
| Not Available |
| Full Name | Douglas M Sell |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | Arkansas Dept. Of Correction, Malvern, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184260408 | NPI | - | NPPES |
| 09-04P | Other | AR | ARKANSAS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 09-04P (Arkansas) | Primary |
| Entity Name | State Of Arkansas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891808630 PECOS PAC ID: 6507863958 Enrollment ID: O20080909000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas M Sell, PHD Po Box 1630, Malvern, AR 72104-1475 Ph: (501) 467-3485 | Douglas M Sell, PHD Arkansas Dept. Of Correction, 100 Walco Lane, Malvern, AR 72104 Ph: (501) 467-3485 |
Mr. Sean Paul Jones, LAC-AS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 | |
Mrs. Melissa Jo Mccready, LPE-I Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 Fax: 870-246-4184 | |
Dr. Brenda H Nobles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1002 Schneider Drive, Suite 101, Malvern, AR 72104 Phone: 501-315-1309 |