Russell T House, LPE
NPI #1114365293 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1114365293
- Entity Type
- Individual
- Name
- Russell T House, LPE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Counseling
- Credential
- LPE
- Enumeration Date
- Jun 11, 2013
- Last Updated
- Jul 13, 2016
Practice Location
- Address
- 60 W SUNBRIDGE DR
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-1822
- Phone
- (479) 695-1240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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