MARTIN THOMAS FAITAK

FAYETTEVILLE, AR
NPI1659351781
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: AR  88-12P)
Enumeration Date2006-01-17
Last Update Date2007-07-09
Business Address
DR. MARTIN THOMAS FAITAK PH.D.
204 N EAST AVE
FAYETTEVILLE, AR 72701-5225
Phone number: 479-442-0763
Mailing Address
DR. MARTIN THOMAS FAITAK PH.D.
204 N EAST AVE
FAYETTEVILLE, AR 72701-5225
Phone number: 479-442-0763