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DR. EDWARD CARL KLEITSCH PH.D.

Clinical Neuropsychologist

Little Rock, Arkansas

Provider NPI: 1205812559

Provider Information:
DR. EDWARD CARL KLEITSCH PH.D.
Gender: M
Sole Proprietor


Practice Location:
4300 W 7TH ST NEUROLOGY SERVICE 127/LR LITTLE ROCK, AR 72205 US
Tel: 501-257-6596  Fax: --

Business Mailing Address:
3911 LOCHRIDGE RD  NORTH LITTLE ROCK, AR 72116 US
Tel: 501-758-8849  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AR92-8P
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
AR92-8P
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
AR92-8P

Other Provider Identifiers:

IssuerNumberStateType
5S742AR04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS AR - Page 1



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