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DR. GARY T. SOUHEAVER PH.D.

Clinical Neuropsychologist

Little Rock, Arkansas

Provider NPI: 1073581468

Provider Information:
DR. GARY T. SOUHEAVER PH.D.
Gender: M
Sole Proprietor


Practice Location:
6 MARGEAUX CT  LITTLE ROCK, AR 72223 US
Tel: 501-868-4933  Fax: --

Business Mailing Address:
6 MARGEAUX CT  LITTLE ROCK, AR 72223 US
Tel: 501-868-4933  Fax: 501-868-4077

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AR7825P
X103T00000XBehavioral Health & Social Service Providers
Psychologist
AR7825P
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
AR7825P

Other Provider Identifiers:

IssuerNumberStateType
56348AR04
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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