Provider Demographics
NPI:1568539765
Name:RUTHERFORD, MARGARET ROBINSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ROBINSON
Last Name:RUTHERFORD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 N CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-2856
Mailing Address - Country:US
Mailing Address - Phone:479-521-4933
Mailing Address - Fax:479-521-8948
Practice Address - Street 1:418 W MEADOW ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5120
Practice Address - Country:US
Practice Address - Phone:479-443-3413
Practice Address - Fax:479-443-3415
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR93-24P103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist