Doctor Name: | MRS. PEGGY BURT |
NPI Number: | 1003233693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A1403049 |
Business Practice Address: | 2607 Caddo St Ste 6 Ar Counseling & Psychodiagnostics, Inc. Arkadelphia, AR - 719235307 |
Business Phone Number: | 8702308217 |
Business Fax Number: | 8702308201 |
Mailing Address: | 2607 Caddo Street, Suite 6, Ar Counseling & Psychodiagnostics, Inc. ARKADELPHIA |
State: | AR |
Postal Code: | 71923 |
Phone Number: | 8702308217 |
Fax Number: | 8702308201 |
NPI Enumeration Date: | 03/21/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A1403049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |