Fayetteville Psychotherapy Associates, PLC
Organization Active NPI Clinical Psychologist · Fayetteville, AR
NPI 1801807243 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801807243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 99-10P (AR)
- Legal business name
- FAYETTEVILLE PSYCHOTHERAPY ASSOCIATES, PLC
- Practice address
- 225 N East Ave
Fayetteville, AR 72701-5226 - Phone
- (479) 442-8900
- Fax
- (479) 442-8901
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. William Edward Spaine, PSY.D.
- Title
- Director
- Phone
- (479) 442-8900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 99-10P | AR | Yes |
Addresses
Primary practice location
225 N East Ave
Fayetteville, AR 72701-5226
Mailing address
225 N East Ave
Fayetteville, AR 72701-5226
Phone (479) 442-8900
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.