Individual
DR. ALFORD E WELBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
2334 N CREEKWOOD AVE, FAYETTEVILLE, AR 72703-4105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
95-10P
AR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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