Anna R. Stanton

Individual provider Active NPI Clinical Psychologist · Little Rock Afb, AR

NPI 1356936330 · NPPES record last updated May 8, 2023

Key facts

NPI
1356936330
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
0810008161 (VA)
Practice address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone
(501) 987-7338
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810008161 VA Yes

Addresses

Primary practice location

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Mailing address

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Other providers in Little Rock Afb, AR

All providers in Little Rock Afb, AR · Clinical Psychologist in Arkansas

Sources for this page

Verify at the official NPI Registry.