IndividualActive
Russell House, LPE
NPI 1114365293 · Counseling Psychologist · Fayetteville, AR
Provider details
- NPI number
- 1114365293
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- LPE
- Sex
- Male
- Sole proprietor
- No
- License
- 13-45E (AR)
Practice location
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
Fax: (479) 750-4843
Mailing address
2400 S 48th St
Springdale, AR 72762-6683
Registry dates
- Enumerated
- 2013-06-11
- Last updated
- 2016-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.