| Elizabeth Chaisson, Phd, Llc | |
|
1 W Mountain St Suite 307 Fayetteville AR 72701-6068 | |
| (479) 422-5712 | |
| Not Available |
| Full Name | Elizabeth Chaisson, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 W Mountain St, Fayetteville, Arkansas |
| Authorized Official Name and Position | Elizabeth Chaisson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4794225712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Chaisson, Phd, Llc 1 W Mountain St Suite 307 Fayetteville AR 72701-6068 Ph: (479) 422-5712 | Elizabeth Chaisson, Phd, Llc 1 W Mountain St Suite 307 Fayetteville AR 72701-6068 Ph: (479) 422-5712 |
| NPI Number | 1316470735 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316470735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | AR-PL 15-03P (Arkansas) | Primary |
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