MICHAEL E WYRICK


Address: 1420 Longview Dr, Booneville, AR 72927-3830
Phone: 4796756392

MICHAEL E WYRICK (NPI# 1679074082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679074082
Entity Type Individual
Full Name MICHAEL E WYRICK
Credential PHD
Practice Address 1420 Longview Dr
Booneville
AR 72927-3830
Practice Telephone 4796756392
Mailing Telephone 4796756392
Enumeration Date 2018-02-22
Last Update Date 2018-02-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
80-15P AR Behavioral Health & Social Service Providers

Other Providers MICHAEL WYRICK

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 1420 LONGVIEW DR
City BOONEVILLE
State AR
Zip Code 72927-3830

Providers in the same zip code

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1538675103 Kimes Family Dentistry Pllc Clinic/Center 1090 E Main St, Booneville, AR 72927 2017-12-19
1730505876 Booneville Chiropractic, Inc Clinic/Center 181 West 6th Street, Booneville, AR 72927 2014-03-13
1427486794 Mercy Hospital Booneville Clinic/Center 128 Daniel Avenue, Booneville, AR 72927 2013-10-24
1982968822 Emily M Kimes Dentist 1090 East Main St, Booneville, AR 72927 2012-06-26
1801928627 State of Arkansas Intermediate Care Facility, Mentally Retarded 87 Reed Rd, Highway 116 South, Booneville, AR 72927 2007-03-09
1932274362 Big World Drug Enterprises Inc Pharmacy 1531 East Main Street, Booneville, AR 72927 2006-11-21
1801907142 J Thad Shirey Dentist 1090 Hwy 10 East, Booneville, AR 72927 2006-08-31
1013941806 Booneville Community Hospital General Acute Care Hospital 880 W. Main St., Booneville, AR 72927 2006-07-10
1023007770 Oak Manor Nursing and Rehabilitation Center Inc Skilled Nursing Facility 150 Morton Avenue, Booneville, AR 72927 2005-10-17
1073518593 Booneville Community Hospital, Inc. Home Health 880 W Main, Booneville, AR 72927 2005-06-21
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619461241 Jessica Lauren Fugitt Psychologist 221 W 2nd St Ste 519, Little Rock, AR 72201-2505 2018-06-18
1598996076 Taking Charge Psychologist 1116 S State St, Pine Bluff, AR 71601-5851 2009-08-02
1386892370 Phyllis Jane Thomas Psychologist 506 Green Mountain Cir, # 70, Little Rock, AR 72211-2632 2008-09-03
1124274469 Lewis E. Campbell Psychologist 4705 Somers Ave, Suite 1027, North Little Rock, AR 72116-7034 2008-08-18
1639361165 Adam Benton Psychologist 4004 Mccain Blvd., Suite 203, North Little Rock, AR 72116 2007-08-17
1194897884 Brian L Harlan, Md, Plc Psychologist 2616 W Beebe Capps Expy, Searcy, AR 72143-4968 2006-11-15
1639137458 Don A Neal Psychologist 2500 Rike Drive, Pine Bluff, AR 71603 2006-05-02
1255339461 Becky L. Porter Psychologist 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 2005-07-12
1295995736 Nancy M. Perry Psychologist 11825 Hinson Rd, Suite 102, Little Rock, AR 72212-3404 2008-06-09
1861525826 Ascent Acquisitions Corp-psc Psychologist 413 W Tyler Ave, West Memphis, AR 72301-4149 2007-03-13
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Competitor

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City BOONEVILLE
Zip Code 72927

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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