AVRAM ZOLTEN PHD
Clinical Neuropsychologist
Little Rock, Arkansas
Provider NPI: 1770572935
Provider Information:AVRAM ZOLTEN PHD
Gender: M
Practice Location:
1 SAINT VINCENT CIR SUITE 210 LITTLE ROCK, AR 72205 US
Tel: 501-552-4777 Fax: 501-552-4570
Business Mailing Address:
650 S SHACKLEFORD RD SUITE 439 LITTLE ROCK, AR 72211 US
Tel: 501-224-1690 Fax: 501-224-1927
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | AR | 92-17P |
X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | AR | 92-17P |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
122248719 | AR | 05 | |
QUALCHOICE | 501750000001 | AR | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin