Individual
DR. TIMOTHY A CAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
(479) 443-9554
Mailing address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
(479) 443-9554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02-11P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
02-11P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X652
BLUECROSS BLUESHIELD
AR
Enumeration date
07/17/2006
Last updated
03/06/2008
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