NPI 1528082096

Richard D Back, PHD

Practitioner Clinical Neuropsychologist Fayetteville, AR

Practice location

Address: 1706 E Joyce Blvd Suite 3, Fayetteville, AR 72703-5238
Phone: (479) 442-9381
Fax: (479) 442-9396

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 78-18 P (AR)

Other Clinical Neuropsychologist providers in Arkansas →

Registry record

NPI: 1528082096
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2006
Record last updated: 14 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.