Search › Arkansas › 103T00000X
Mary Bullock-Rest, PHD
NPI 1417085689 · on the registry since 2007 · sole proprietor
Practice
- Address
- 130 E Poplar St
Fayetteville, AR 72703 - Phone
- (479) 799-1806
- Organisation at this address
- Stone Path Counseling, Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas