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Individual

HARVEY E CHAMBERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
2592 N GREGG AVE STE 16, FAYETTEVILLE, AR 72703-5541
(479) 313-6333
(479) 313-6168
Mailing address
2592 N GREGG AVE STE 16, FAYETTEVILLE, AR 72703-5541
(479) 313-6333
(479) 313-6168

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
93-19P
AR
103TC0700X
Clinical Psychologist
9319P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123650719
AR
Enumeration date
07/10/2006
Last updated
01/10/2017
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