Provider Demographics
NPI:1851501803
Name:ANDREWS, GARRETT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERISTY OF ARKANSAS FOR MEDICAL SCIENCES-GERIATRICS
Mailing Address - Street 2:4301 W. MARKHAM ST. #547-13
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-686-6219
Mailing Address - Fax:501-686-6234
Practice Address - Street 1:2400 RIVERFRONT DR
Practice Address - Street 2:APT. 1437
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2208
Practice Address - Country:US
Practice Address - Phone:501-353-0948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR07-17P103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR07090019200OtherQUALCHOICE
AR5A369OtherBCBS
AR07090019200OtherQUALCHOICE