DR. MARY ELIZABETH BULLOCK-REST PHD
NPI 1417085689
Psychologist in Fayetteville, AR

Active since March 01, 2007
130 E POPLAR ST, FAYETTEVILLE, AR 72703(479) 799-1806 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Elizabeth Bullock-rest Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELIZABETH BULLOCK-REST PHD (NPI 1417085689) is an individual psychologist in Fayetteville, Arkansas, licensed in Arkansas (PSY-95-14) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417085689
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY ELIZABETH BULLOCK-RESTCredential: PHD
Location Address130 E POPLAR STFayetteville, AR 72703-2532
Mailing Address130 E Poplar StFayetteville, AR 72703-2532 · (479) 799-1806
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateSeptember 22, 2014
NPI 1417085689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in AR · PSY-95-14 Licensed in AR · 95-14P
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
130 E POPLAR ST, Fayetteville, AR 72703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bullock-rest's NPI number?

The NPI number for Mary Bullock-rest is 1417085689. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mary Bullock-rest located?

Mary Bullock-rest practices at 130 E Poplar St, Fayetteville, AR 72703. The listed phone number is (479) 799-1806.

What is Mary Bullock-rest's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Bullock-rest was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.