DR. Richard D Back, PH.D
NPI #1528082096 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1528082096
- Entity Type
- Individual
- Name
- DR. Richard D Back, PH.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PH.D
- Enumeration Date
- Jul 27, 2006
- Last Updated
- May 14, 2008
Practice Location
- Address
- 1706 E JOYCE BLVD
- Address 2
- SUITE 3
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-5238
- Phone
- (479) 442-9381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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