Search › Arkansas › 101Y00000X
Mallory Brogdon, MHPP
NPI 1205087988 · on the registry since 2008
Practice
- Address
- 2508 Se 20th Street
Bentonville, AR 72712 - Phone
- (479) 750-2020
- Fax
- (479) 750-8967
- Clinicians at this address
- 46
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas