Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 10-19P | AR |
Y | 103TC0700X | Clinical Psychologist | 10-19P | AR |
NPI | 1013101039 |
---|---|
Provider Name | Dr. Connie Kay Venhaus |
First Address | Hot Springs Village, AR 71910-9157 |
Second Address | Hot Springs, AR 71901-4195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2007 |
Last Update Date | 28/09/2018 |