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Organization

JAMES M FUENDELING, PHD & ASSOCIATES

Active
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Organization

JAMES M FUENDELING, PHD & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES M FUENDELING PHD (OFFICE MANAGER)
(479) 422-4489
Entity
Organization

Contact information

Practice address
840 N POLLARD AVE, FAYETTEVILLE, AR 72701
(479) 422-4489
(479) 444-6770
Mailing address
840 N POLLARD AVE, FAYETTEVILLE, AR 72701
(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
103TC1900X
Counseling Psychologist
01-05P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BLUECROSS BLUESHIELD
5X899
AR
Enumeration date
01/24/2007
Last updated
09/20/2012
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