Individual
DR. FREDERICK WOOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 EAST CENTER STREET, SUITE 331, FAYETTEVILLE, AR 72701
(917) 502-0896
(212) 253-4136
Mailing address
1 EAST CENTER STREET, SUITE 331, FAYETTEVILLE, AR 72701
(917) 502-0896
(212) 253-4136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04-19P
AR
174400000X
Specialist
04-19P
AR
Other
Enumeration date
07/24/2012
Last updated
11/03/2025
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