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Mailing Lists

Note: Forms must include a cover letter with each submission. Incomplete submissions will not be processed by the Board nor will the incomplete submission be returned to you.

TitleType

Mailing List Request Form

PDF

We accept credit card payments.  Payment information is included on the form.

Charge: $100.00 for a mailing list of active licensed Psychologists and Psychological Examiners in Arkansas.

The mailing list will be in Excel and will consist of the following for active and voluntary inactive licensees:

License TypeAddressHigh Degree
AbbreviationCitySupervise Date
License NumberStateSpoken Language
License StatusZipSign Languages
TitleWork Phone
First NameE-Mail
Middle NameLicense Began
Last NameLicense Expires
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Arkansas Psychology Board
101 East Capitol, Suite 415
Little Rock, AR 72201
(501) 682-6167
Fax: (501) 682-6165
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