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.
We accept credit card payments. Payment information is included on the form.
Charge: $100.00 for a mailing list and labels 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 Type |
Address |
High Degree |
| Abbreviation |
City |
Supervise Date |
| License Number |
State |
Spoken Language |
| License Status |
Zip |
Sign Languages |
| Title |
Work Phone |
|
| First Name |
E-Mail |
|
| Middle Name |
License Began |
|
| Last Name |
License Expires |
|
Mailing Labels will be Avery 5162. The information will include:
| Title |
Address |
| First Name |
City |
| Middle Name |
State |
| Last Name |
Zip |
| Degree |
|
If mailing, please send your check/money order/credit card information along with the mailing list form to:
Arkansas Psychology Board
ATTN: Mailing List Request
101 E. Capitol Ave., Suite 415
Little Rock, AR 72201