Cynthia W Dupuis, PHD

Individual provider Active NPI Clinical Psychologist · El Dorado, AR

NPI 1578733101 · NPPES record last updated Sep 28, 2010

Key facts

NPI
1578733101
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
09-13P (AR)
Practice address
715 N College Ave
El Dorado, AR 71730-4403
Phone
(870) 862-7921
Fax
(870) 864-2490
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07-05AE-PLARMDPsychologist
93-13PARMDPsychologist
09-13PARMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 07-05AE-PL AR
Clinical Psychologist 103TC0700X 09-13P AR Yes

Addresses

Primary practice location

715 N College Ave
El Dorado, AR 71730-4403

Mailing address

715 N College Ave
El Dorado, AR 71730-4403
Phone (870) 862-7921

Other providers in El Dorado, AR

All providers in El Dorado, AR · Clinical Psychologist in Arkansas

Sources for this page

Verify at the official NPI Registry.