Nicholas Mitrani LPE-I
Clinical Psychologist in Conway, AR(View on Map)
Full Name
Nicholas Mitrani LPE-I
NPI Number
1629426770
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/31/2016
Specialties
(Taxonomies)Name
Code
103TC0700X
103TC2200X
103TC1900X
103T00000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Arkansas
License Number
18-22P
Contact
Information
Purpose
Mailing
Location
Address
4206 PRINCE STREET
4206 PRINCE STREET
City
Conway
Conway
State
AR
AR
Postal Code
72034-9398
72034-9398
Country
US
US
Telephone Number
(501) 932-0255
(501) 932-0255
Identifiers
Identifier
232944719
Identifier State
AR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/24/2019
Provider Address
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