Provider Demographics
NPI:1477785822
Name:ANDREWS NEUROPSYCHOLOGY CONSULTING, PPLC
Entity Type:Organization
Organization Name:ANDREWS NEUROPSYCHOLOGY CONSULTING, PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:501-366-9710
Mailing Address - Street 1:PO BOX 241344
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0006
Mailing Address - Country:US
Mailing Address - Phone:501-366-9710
Mailing Address - Fax:
Practice Address - Street 1:1701 CENTERVIEW DR STE 123
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4311
Practice Address - Country:US
Practice Address - Phone:501-537-1388
Practice Address - Fax:501-377-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-19
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR07-17P103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty