Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Elizabeth Bullock-Rest, PHD

Individual provider Psychologist · NPI 1417085689

Dr. Mary Elizabeth Bullock-Rest, PHD is a Psychologist in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2007
Specialties on file
2
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

130 E Poplar St
Fayetteville, AR 72703-2532
Phone: (479) 799-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY-95-14 (AR)
Psychologist Taxonomy 103T00000X · Licence 95-14P (AR)

Record details

NPI number1417085689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 1, 2007
Last updated in NPPESSeptember 22, 2014

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