Individual
DOUGLAS M SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
ARKANSAS DEPT. OF CORRECTION, 100 WALCO LANE, MALVERN, AR 72104
(501) 467-3485
Mailing address
PO BOX 1630, MALVERN, AR 72104-1475
(501) 467-3485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
09-04P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-04P
ARKANSAS LICENSE NUMBER
AR
Enumeration date
11/21/2019
Last updated
08/13/2024
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