| Fayetteville Psychotherapy Associates, Plc | |
|
225 N East Ave Fayetteville AR 72701-5226 | |
| (479) 442-8900 | |
| (479) 442-8901 |
| Full Name | Fayetteville Psychotherapy Associates, Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 N East Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | William Edward Spaine (DIRECTOR) |
| Authorized Official Contact | 4794428900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Psychotherapy Associates, Plc 225 N East Ave Fayetteville AR 72701-5226 Ph: (479) 442-8900 | Fayetteville Psychotherapy Associates, Plc 225 N East Ave Fayetteville AR 72701-5226 Ph: (479) 442-8900 |
| NPI Number | 1801807243 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 99-10P (Arkansas) | Primary |
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