Grimwood, Maryam Mardanbigi

Grimwood, Maryam Mardanbigi is an individual health care provider with primary practice located at 112 W Center St , Fayetteville AR 72701-6073. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Genetic Counselor, MS. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Grimwood, Maryam Mardanbigi can be contacted via phone (479) 316-7770.

Contact Information

Primary practice address
112 W Center St Fayetteville AR 72701-6073
Phone: (479) 316-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1804043 Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A1109095 Arkansas
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1437190360
LBN Legal business name Grimwood, Maryam Mardanbigi
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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