Individual provider · Type 1 NPI

Mary Elizabeth Bullock-Rest, PhD

Psychologist · Fayetteville, AR

NPI number 1417085689 Active

Practice location

130 E Poplar St
Fayetteville, AR 72703-2532

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X95-14P (AR)
Psychologist Primary 103T00000XPSY-95-14 (AR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1417085689

Mary Elizabeth Bullock-Rest, PhD's National Provider Identifier is 1417085689, issued on Mar 1, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 22, 2014.