| Fayetteville Psychiatry, Ltd | |
|
205 N College Ave Fayetteville AR 72701-4238 | |
| (479) 966-6993 | |
| Not Available |
| Full Name | Fayetteville Psychiatry, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 205 N College Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Adriana Stacey (CO-MANAGER) |
| Authorized Official Contact | 4799666993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Psychiatry, Ltd 4641 E Bridgewater Ln Fayetteville AR 72703-4670 Ph: (479) 966-6993 | Fayetteville Psychiatry, Ltd 205 N College Ave Fayetteville AR 72701-4238 Ph: (479) 966-6993 |
| NPI Number | 1710535935 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 08/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710535935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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