Provider First Line Business Practice Location Address:
480 N CAMPUS DRIVE, UNIVERSITY OF ARKANSAS
Provider Second Line Business Practice Location Address:
MEMORIAL HALL 111, PSYCHOLOGICAL CLINIC
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-575-4258
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2018