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CHRISTINA L. COUCH PSY.D.

Behavioral Health & Social Service Providers Psychologist Clinical

Provider NPI: 1770767428

Provider Information:
 CHRISTINA L. COUCH PSY.D.
Gender: F
Not Sole Proprietor

Practice Location:
3111 S 70TH ST  FORT SMITH, AR 72903-5017 US
Tel: 479-452-6650  Fax: 479-452-5847

Business Mailing Address:
2621 W MAIN ST STE 7 RUSSELLVILLE, AR 72801-2551 US
Tel: 479-452-6650  Fax: 479-452-5847

NPI Information:
NPI: 1770767428
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
AR12-019

Other Provider Identifiers:

IssuerNumberStateType
191430719AR05



American Medical Association 2012 taxonomy code information

Code: 103TC0700X

Type:

Classification:



Definition:



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