NPI 1326066689 · live from the CMS NPI Registry
Timothy A Cavell, PH.D.
Psychologist, Clinical in Fayetteville, AR. National Provider Identifier 1326066689, active.
NPI record
| NPI | 1326066689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1 W Sunbridge Dr, Fayetteville, AR 72703 |
| Practice phone | 479-443-5575 |
| Enumerated | July 17, 2006 |
| Last updated | March 6, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 02-11P (AR) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 02-11P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.