Tina Michele McClure, MHPP

Individual provider Active NPI Genetic Counselor (M.S.) · Springdale, AR

NPI 1902819683 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902819683
Entity type
Individual (NPI type 1)
Primary specialty
Genetic Counselor (M.S.) 170300000X
Practice address
2466 South 48TH St.
Springdale, AR 72762
Phone
(479) 750-2020
Fax
(479) 872-2441
NPI assigned
Aug 14, 2006
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)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X Yes

Addresses

Primary practice location

2466 South 48TH St.
Springdale, AR 72762

Mailing address

PO Box 6430
Springdale, AR 72766-6430
Phone (479) 750-2020

Other providers in Springdale, AR

All providers in Springdale, AR · Genetic Counselor (M.S.) in Arkansas

Sources for this page

Verify at the official NPI Registry.