Individual
DR. ANITRA S FAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3801 ROGERS AVE, FORT SMITH, AR 72903-3045
(479) 783-0445
(479) 782-5883
Mailing address
PO BOX 3487, FORT SMITH, AR 72913-3487
(479) 783-0445
(479) 782-5883
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
821P
AR
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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