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Carl D Reddig, ED D

Psychologist in Conway, AR. Individual provider (NPI-1).

NPI number1710071949
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710071949
Entity type
Individual (NPI-1)
Name
Carl D Reddig
Credential
ED D
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist9421PARYes

Practice location

350 Salem Road
Ste 1
Conway, AR 72034

Phone 501-336-8300 · Fax 501-329-3572

Mailing address

350 Salem Road
Ste 1
Conway, AR 72034

Phone 501-336-8300 · Fax 501-329-3572

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