Individual
DR. GARY T. SOUHEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6 MARGEAUX CT, LITTLE ROCK, AR 72223-9193
(501) 868-4933
Mailing address
6 MARGEAUX CT, LITTLE ROCK, AR 72223-9193
(501) 868-4933
(501) 868-4077
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7825P
AR
103T00000X
Psychologist
7825P
AR
103TA0700X
Adult Development & Aging Psychologist
Primary
7825P
AR
Other
Enumeration date
03/10/2006
Last updated
09/11/2025
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