Mary Elizabeth Bullock-rest PHD

NPI 1417085689 - Psychologist - 103T00000X

NPI Details
NPI 1417085689
Gender Female
Enumeration Date 03/01/2007
Last Updated 09/22/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
130 E POPLAR ST
FAYETTEVILLE AR, 72703-2532, US
Phone (479) 799-1806
Fax
Business Location
130 E POPLAR ST
FAYETTEVILLE AR, 72703-2532, US
Phone (479) 799-1806
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Arkansas
License Number 95-14P
Remove 1417085689 NPI Number
 

According to our database, Dr. Mary Elizabeth Bullock-rest PHD NPI is 1417085689, taxonomy code is 103T00000X and license number is 95-14P, license state is located at Arkansas. Mary Elizabeth Bullock-rest PHD physically located at 130 E Poplar St, Fayetteville AR, 72703-2532. NPI Number Mary Elizabeth Bullock-rest PHD has the Individual type.

Sponsored links

1417085689 NPI number is provided on an as is basis without warranty of any kind. 1417085689 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Elizabeth Bullock-rest PHD are for informational purposes only.