Tera Goodman
Individual provider Active NPI Developmental Disabilities Clinic/Center · Hardy, AR
NPI 1215348552 · NPPES record last updated May 8, 2014
Key facts
- NPI
- 1215348552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Practice address
- 15 Barber Dr
Hardy, AR 72542-9109 - Phone
- (870) 994-3103
- NPI assigned
- May 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
15 Barber Dr
Hardy, AR 72542-9109
Mailing address
15 Barber Dr
Hardy, AR 72542-9109
Other providers in Hardy, AR
- Dan T Speir OD PA
- Davis Drug Store Inc
- Clifford Marsh Davis
- Julea Garner
- Glden Care Adult Day Health Care Inc.
- Hardin Therapy Services
- Matthew Hardin
- Jennifer Lynn Hillis
- Christian Dawn Huffmaster
- Chasity Johnson
All providers in Hardy, AR · Developmental Disabilities Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2014. 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.