Kerry Underwood
Organization Active NPI Marriage & Family Therapist · Fort Smith, AR
NPI 1336512979 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1336512979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- A1101002 (AR)
- Legal business name
- KERRY UNDERWOOD
- Practice address
- 5401 Rogers Ave
Suite 200
Fort Smith, AR 72903-3745 - Phone
- (479) 226-8403
- Fax
- (479) 250-0334
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Mary Jeppsen
- Title
- Partner
- Phone
- (479) 226-8403
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Fresh Roots Family Counseling
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | A1101002 | AR | Yes |
Addresses
Primary practice location
5401 Rogers Ave
Suite 200
Fort Smith, AR 72903-3745
Mailing address
5401 Rogers Ave
Suite 200
Fort Smith, AR 72903-3745
Phone (479) 226-8403
Other providers in Fort Smith, AR
- Lacey Deshay Kennon
- Nicole Kennon
- Dustin Donald Kenny
- Joseph Henry Kent
- Stephanie L Kerr
- Rebecca Grace Kesner
- Emily Kester
- Maureen D Kestner
- Tarah Ketter
- Mohsen Keyashian
All providers in Fort Smith, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. 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.