Timothy A Cavell in Fayetteville - Clinical Child & Adolescent

Timothy A Cavell - NPI 1326066689

Timothy A Cavell is a Clinical Child & Adolescent in Fayetteville, Arkansas. Timothy A Cavell practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Timothy A Cavell is 1326066689. The last update date is 2008-03-06.

Timothy A Cavell's current location address is 1 W Sunbridge Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4794435575 and fax number 4794439554. The mailing address for Timothy A Cavell is 1 W Sunbridge Dr, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy A Cavell
Address 1 W Sunbridge Dr, Fayetteville, Arkansas
Phone Number 4794435575
Fax Number 4794439554
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1326066689
Provider Enumeration Date 2006-07-17
Last Updated Date 2008-03-06

Provider Mailing Address Detail

Address 1 W Sunbridge Dr
City Fayetteville
State Arkansas (AR)
Post Code 727031825
Phone Number 4794435575
Fax Number 4794439554

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 02-11P
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5X652 AR BLUECROSS BLUESHIELD

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FAQs about Timothy A Cavell

What is the unique 10-digit identifier code assigned to Timothy A Cavell by the Centers for Medicare & Medicaid Services?

The Timothy A Cavell has been issued the NPI (National Provider Identifier) 1326066689 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Timothy A Cavell?

The Timothy A Cavell is situated at 1 W Sunbridge Dr, in the city of Fayetteville, state of AR, with the zip code 727031825.

What is Timothy A Cavell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Timothy A Cavell's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Timothy A Cavell receive its 1326066689 assignment from the Centers for Medicare & Medicaid Services?

The Timothy A Cavell was assigned its 1326066689 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information pertaining to Timothy A Cavell most recently updated or revised?

The details related to Timothy A Cavell, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-06.

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