Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 88-5P | AR |
Y | 103TC0700X | Clinical Psychologist | 88-5P | AR |
N | 103TR0400X | Rehabilitation Psychologist | 88-5P | AR |
NPI | 1164489290 |
---|---|
Provider Name | Dr. Renee Carlene Magiera-Planey |
First Address | Little Rock, AR 72205-7202 |
Second Address | Little Rock, AR 72205-7202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 16/07/2007 |