Matthew Waymack

NPI #1043693450 in Russellville, Arkansas

Provider Information

NPI Number: 1043693450
Entity Type: Individual
Name: Matthew Waymack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 2, 2015
Last Updated: Jul 2, 2015

Practice Location

Address: 1610 S ARKANSAS AVE
City: Russellville
State: Arkansas
ZIP Code: 72801-7125
Phone: (479) 967-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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