Provider Demographics
NPI:1487205357
Name:CENTRAL ARKANSAS PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:CENTRAL ARKANSAS PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:B
Authorized Official - Last Name:MORAIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:501-993-3712
Mailing Address - Street 1:523 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2916
Mailing Address - Country:US
Mailing Address - Phone:501-993-3712
Mailing Address - Fax:
Practice Address - Street 1:523 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2916
Practice Address - Country:US
Practice Address - Phone:501-993-3712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health