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Individual

DR. JAMES M FUENDELING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
2013 N GREEN ACRES RD, SUITE C, FAYETTEVILLE, AR 72703-2619
(479) 422-4489
(479) 444-6770
Mailing address
2013 N GREEN ACRES RD, SUITE C, FAYETTEVILLE, AR 72703-2619
(479) 422-4489
(479) 444-6770

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
01-15P
AR
103TC0700X
Clinical Psychologist
01-15P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5X899
BLUECROSS BLUESHIELD
AR
Enumeration date
07/14/2006
Last updated
06/18/2015
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