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MICHAEL E WYRICK PHD

Cognitive & Behavioral >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679074082

Individual Registrant:
 MICHAEL E WYRICK PHD
Gender: M
Sole Proprietor

Location and contact information for practice:
1420 LONGVIEW DR  BOONEVILLE, AR 72927-3830 US
Tel: 479-675-6392  Fax: --

Contact information for business:
1420 LONGVIEW DR  BOONEVILLE, AR 72927-3830 US
Tel: 479-675-6392  Fax: --

Registration Information:
NPI: 1679074082
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TB0200XBehavioral Health & Social Service Providers
Psychologist
Cognitive & Behavioral
AR80-15P

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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