Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY ELIZABETH BULLOCK-REST, PHD
Active Sole ProprietorPsychologist · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1417085689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2007 (19.158335603888 yrs)
- Last Updated
- Sep 22, 2014
- Licenses
-
95-14P (AR)PSY-95-14 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 E POPLAR STFAYETTEVILLE, AR, 727032532Browse AR providers · Browse ZIP 72703
- Phone
- 4797991806
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN PRIOLEAU NICHOLS | PH.D. | 1962481093 |
| STEPHEN B GEMMELL | PHD | 1508816422 |
| DONNA M VAN KIRK | EDD | 1235167578 |
| DR. RITA LOIS OFFICER | PSYD | 1730190711 |
| DR. MARGARET ROBINSON RUTHERFORD | PH.D. | 1568539765 |
| DR. BLAKELY LOW | PHD | 1851814230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.