NPI 1821157017 · live from the CMS NPI Registry
Clinical & Community Psychology & Counseling, P.A.
Psychologist in Fayetteville, AR. National Provider Identifier 1821157017, active.
NPI record
| NPI | 1821157017 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 301 W Mountain St, Fayetteville, AR 72701 |
| Practice phone | 479-442-2457 |
| Enumerated | December 6, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Frances Woods, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 8109P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.