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

Dr. Mark J Stern, PHD

Individual provider Clinical Neuropsychologist · NPI 1124793666

Dr. Mark J Stern, PHD is a Clinical Neuropsychologist in Fayetteville, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas and California.

Licensed in
AR, CA
In the registry since
2021
Specialties on file
6
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1800 N Gregg Ave Apt 4
Fayetteville, AR 72703-2420
Phone: (619) 894-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6977 Navajo Rd # 432, San Diego, CA 92119-1503 — (619) 250-2226

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY34309 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 202119 (AR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY34309 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 202119 (AR)
Health Psychologist Taxonomy 103TH0004X · Licence 202119 (AR)
Health Psychologist Taxonomy 103TH0004X · Licence PSY34309 (CA)

Record details

NPI number1124793666
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address6977 Navajo Rd # 432, San Diego, CA 92119-1503

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