Cassandra Lee Ingram M.S., LPE

NPI 1568758407 - Psychologist - 103T00000X

NPI Details
NPI 1568758407
Gender Female
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1109 BURMAN DR
JACKSONVILLE AR, 72076-4386, US
Phone (501) 982-7515
Fax (501) 982-7510
Business Location
PO BOX 15968
LITTLE ROCK AR, 72231-5968, US
Phone (501) 221-1843
Fax (501) 221-2376
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Cassandra Lee Ingram M.S., LPE NPI is 1568758407, taxonomy code is 103T00000X Cassandra Lee Ingram M.S., LPE physically located at 1109 Burman Dr, Jacksonville AR, 72076-4386. NPI Number Cassandra Lee Ingram M.S., LPE has the Individual type.

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1568758407 NPI number is provided on an as is basis without warranty of any kind. 1568758407 is maintained by the National Plan & Provider Enumeration System. The contents of Cassandra Lee Ingram M.S., LPE are for informational purposes only.