Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 12-01E | AR |
N | 102L00000X | Psychologist | 12-01E | AR |
N | 103T00000X | Psychologist | 12-01E | AR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 12-01E | AR |
N | 103G00000X | Clinical Psychologist | 12-01E | AR |
N | 103TC0700X | Clinical Psychologist | 12-01E | AR |
N | 103TC1900X | Counseling Psychologist | 12-01E | AR |
Y | 103TH0004X | Health Psychologist | 12-01E | AR |
N | 103TP2701X | Group Psychotherapist | 12-01E | AR |
N | 103TR0400X | Rehabilitation Psychologist | 12-01E | AR |
NPI | 1720307903 |
---|---|
Provider Name | Dr. Yousef Arfan Fahoum |
First Address | Little Rock, AR 72223-0037 |
Second Address | Sherwood, AR 72120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2010 |
Last Update Date | 16/08/2018 |