Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chrystal Tarryn Fullen, PSYD

Individual provider Clinical Neuropsychologist · NPI 1053768911

Chrystal Tarryn Fullen, PSYD is a Clinical Psychologist in Little Rock, Arkansas. Qualified in 2019, 7 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4301 W Markham St # 589
Little Rock, AR 72205-7101
Phone: (501) 526-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 19-32AP-PL (AR)

Record details

NPI number1053768911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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