ELIZABETH CHAISSON


Address: 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068
Phone: 4794225712

ELIZABETH CHAISSON (NPI# 1265950034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265950034
Entity Type Individual
Full Name ELIZABETH CHAISSON
Credential PHD
Practice Address 1 W Mountain St Ste 307
Fayetteville
AR 72701-6068
Mailing Address 4170 N Hillside Ter
Fayetteville
AR 72703-4824
Practice Telephone 4794225712
Mailing Telephone 4794225712
Enumeration Date 2017-08-31
Last Update Date 2017-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
15-03 AR Behavioral Health & Social Service Providers

Office Location

Street Address 1 W MOUNTAIN ST STE 307
City FAYETTEVILLE
State AR
Zip Code 72701-6068

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154969657 Kathleen Ratcliff Andrews Psychologist 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 2019-12-16
1740757731 Dia Boutwell Psychologist 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 2018-10-27
1922470020 Savanna Cloer Mccain Phd, Pa Psychologist 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 2015-10-28
1538578992 Nicole Dreiling Psychologist 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 2014-08-10
1255627717 Colleen Quinn Psychologist 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 2011-06-23
1518278373 Ingrid Jacobs Psychologist 1 E Center St Ste 333, Fayetteville, AR 72701-5349 2010-06-27
1427372119 Sandra V Heinsz Psychologist 290 Ashborough Park, Fayetteville, GA 30215-6514 2010-03-24
1134361546 Elizabeth E Knowles, Ph.d., Pa Psychologist 4241 N Gabel Dr, Fayetteville, AR 72703-5004 2009-03-31
1982846671 Louis P. Anderson Psychologist 120 Michael Ct, Fayetteville, GA 30215-1846 2009-03-27
1669642989 Jennifer Moffitt Psychologist 26 E Meadow St Ste 1, Fayetteville, AR 72701-5357 2008-03-03
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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