Tina Renee Eddings
Individual provider Active NPI Day Training/Habilitation Specialist · Harrison, AR
NPI 1093085805 · NPPES record last updated Jan 10, 2012
Key facts
- NPI
- 1093085805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 816 N Main St
Harrison, AR 72601-2915 - Phone
- (870) 204-6191
- Fax
- (870) 204-6397
- NPI assigned
- Jan 10, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
816 N Main St
Harrison, AR 72601-2915
Mailing address
816 N Main St
Harrison, AR 72601-2915
Phone (870) 204-6191
Other providers in Harrison, AR
- Robyn Dye
- Connie A Dyer
- Eagle Heights Clinic, P.a.
- Emily J Earnest
- Joy Eddings
- Karin Edelstein
- Maebel Edwards
- Susan Edwards
- Josie Ellen Shearer
- Elliott Family Transport
All providers in Harrison, AR · Day Training/Habilitation Specialist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2012. 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.