Individual
STEPHEN B GEMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0010P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154295719
—
AR
01
—
5W107
BLUE
AR
Enumeration date
05/11/2006
Last updated
04/25/2011
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