Amanda Boeke
Individual provider Active NPI Clinical Psychologist · Barling, AR
NPI 1033360367 · NPPES record last updated Oct 6, 2008
Key facts
- NPI
- 1033360367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 05-38AP-PL (AR)
- Practice address
- 1311 Fort Street
Barling, AR 72923 - Phone
- (479) 452-5040
- NPI assigned
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-38AP-PL | AR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05-38AP-PL | AR | Yes |
Addresses
Primary practice location
1311 Fort Street
Barling, AR 72923
Mailing address
PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040
Other providers in Barling, AR
- Jessie Angeline Benham
- Loana Benton
- Tiffany Beshears
- Rashel Bierma
- Tara Blentlinger
- Robert J Bronson
- Andre Brooks
- Amanda Brown
- Anna Lee Brown
- Judy Brown
All providers in Barling, AR · Clinical Psychologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.