Doctor Name: | RICHARD ALFRED TOTTEN |
NPI Number: | 1760633085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | A1110107 |
Business Practice Address: | 503 Se Lindsey St Hoxie, AR - 724332224 |
Business Phone Number: | 8708691500 |
Business Fax Number: | 8708691505 |
Mailing Address: | Po Box 299, HOXIE |
State: | AR |
Postal Code: | 724330299 |
Phone Number: | 8708861333 |
Fax Number: | 8708861334 |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A1110107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |