Doctor Name: | THOMAS D HARGETT |
NPI Number: | 1407078744 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | P1103015 |
Business Practice Address: | 827 W Harvard St Siloam Springs, AR - 727614013 |
Business Phone Number: | 4795493109 |
Business Fax Number: | 4797504843 |
Mailing Address: | 2400 S. 48th Street, SPRINGDALE |
State: | AR |
Postal Code: | 72762 |
Phone Number: | 4797502020 |
Fax Number: | 4797504843 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | P1103015 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |