Gemmell, Stephen B

Gemmell, Stephen B is an individual health care provider with primary practice located at 12 E Appleby Rd Ste 101, Fayetteville AR 72703-3901. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gemmell, Stephen B can be contacted via phone (479) 463-4444.

Contact Information

Primary practice address
12 E Appleby Rd Ste 101 Fayetteville AR 72703-3901
Phone: (479) 463-4444
Fax: (479) 463-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0010P Arkansas

Profile Details

NPI number 1508816422
LBN Legal business name Gemmell, Stephen B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 25th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508816422 NPPES
Arkansas MEDICAID 154295719
Arkansas Other 5W107

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