Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 07-13P | AR |
N | 103T00000X | Psychologist | 07-13P | AR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 07-13P | AR |
Y | 103G00000X | Clinical Psychologist | 07-13P | AR |
Y | 103TC0700X | Clinical Psychologist | 07-13P | AR |
N | 103TH0004X | Health Psychologist | 07-13P | AR |
N | 103TH0100X | Health Service | 07-13P | AR |
NPI | 1073734919 |
---|---|
Provider Name | Kamra Elizabeth Mays |
First Address | Cave Springs, AR 72718 |
Second Address | Bentonville, AR 72712-7533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 15/08/2019 |