Organization
WOOLVERTON INSTITUTE FOR PSYCHOTHERAPY
Active
Other names
The Village Institute
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WOOLVERTON PH.D. (DIRECTOR)
(479) 442-4080
Entity
Organization
Contact information
Practice address
21 W MOUNTAIN ST, SUITE 300, FAYETTEVILLE, AR 72701-6086
(479) 442-4080
(212) 253-4136
Mailing address
21 W MOUNTAIN ST, SUITE 300, FAYETTEVILLE, AR 72701-6086
(479) 442-4080
(212) 253-4136
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
04-19P
AR
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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