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Mr. Clark Robert Thompson, MA
Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas
NPI 1003284274

Clark Robert Thompson is a Student in an Organized Health Care Education/Training Program based in Northfield, AR. Clark Robert Thompson practices in Fayetteville, AR and has the professional credentials of MA. The NPI Number for Clark Robert Thompson is 1003284274 and holds a License No. 1810AP-PL (Arkansas).

The current practice location address for Clark Robert Thompson is 86 W Sunbridge Dr, Fayetteville, AR and can be reached out via phone at 479-435-6360. You can also correspond with Clark Robert Thompson through the mailing address at 405 CENTRAL AVE, NORTHFIELD, IL - 60093-3006 (mailing address contact number: 847-441-5600).

Location: 86 W Sunbridge Dr, Fayetteville, AR, 60093-3006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003284274
Provider Name
Clark Robert Thompson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
86 W Sunbridge Dr, Fayetteville, AR, 60093-3006
Phone Number
479-435-6360
Fax Number
Provider Enumeration Date
09/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
86 W Sunbridge Dr
City
Fayetteville
State
Arkansas
Zip
72703-1822
Phone Number
479-435-6360
Fax Number
person
Provider Business Mailing Address Details
Address
405 Central Ave
City
Northfield
State
Illinois
Zip
60093-3006
Phone Number
847-441-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1810AP-PL (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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