Russell T House
Counseling Psychologist
60 W Sunbridge Dr
Fayetteville
, Arkansas 72703-1822
Russell T House
Counseling Psychologist
60 W Sunbridge Dr
Fayetteville
, Arkansas 72703-1822
(479) 750-4843
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Russell T House
- 2400 S 48th St
- Springdale, AR
- Zip : 72762-6683
- Fax : (479) 750-4843
- Phone : (479) 750-2020
Second Address
- Russell T House
- 60 W Sunbridge Dr
- Fayetteville, AR
- Zip : 72703-1822
- Fax : (479) 750-4843
- Phone : (479) 695-1240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 13-45E | AR |
National Provider Identifier
| NPI | 1114365293 |
|---|---|
| Provider Name | Russell T House |
| First Address | Springdale, AR 72762-6683 |
| Second Address | Fayetteville, AR 72703-1822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2013 |
| Last Update Date | 13/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.