Search › Arkansas › 1041C0700X
Jonathan Waddell, LCSW
NPI 1457838187 · on the registry since 2018
Practice
- Address
- 1210 Wolfe St
Little Rock, AR 72202 - Phone
- (501) 364-5150
- Fax
- (501) 364-3966
- Organisation at this address
- University Of Arkansas For Medical Sciences
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Additional practice sites
- 2615 W Main St, Jacksonville, AR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-09
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