Richard D Back in Fayetteville - Clinical Neuropsychologist

Richard D Back - NPI 1528082096

Richard D Back is a Clinical Neuropsychologist in Fayetteville, Arkansas. Richard D Back practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Richard D Back is 1528082096. The last update date is 2008-05-14.

Richard D Back's current location address is 1706 E Joyce Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4794429381 and fax number 4794429396. The mailing address for Richard D Back is 1706 E Joyce Blvd, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard D Back
Address 1706 E Joyce Blvd, Fayetteville, Arkansas
Phone Number 4794429381
Fax Number 4794429396
Sole Proprietor N
Credentials PH.D

NPI Number Detail

NPI Number 1528082096
Provider Enumeration Date 2006-07-27
Last Updated Date 2008-05-14

Provider Mailing Address Detail

Address 1706 E Joyce Blvd
City Fayetteville
State Arkansas (AR)
Post Code 727035238
Phone Number 4794429381
Fax Number 4794429396

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 78-18 P
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Richard D Back

What is the unique identifier code issued to Richard D Back by the Centers for Medicare & Medicaid Services?

The Richard D Back has been assigned the NPI (National Provider Identifier) 1528082096. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Richard D Back located?

The Richard D Back is located at 1706 E Joyce Blvd, Fayetteville, AR 727035238.

What is Richard D Back's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard D Back is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.

When did the Richard D Back receive its 1528082096?

The Richard D Back was issued its 1528082096 on 2006-07-27, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Richard D Back, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard D Back, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-14.

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