Dale Cordes Provost in Little Rock - Clinical
Dale Cordes Provost - NPI 1225134919
Dale Cordes Provost is a Clinical in Little Rock, Arkansas. Dale Cordes Provost practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dale Cordes Provost is 1225134919. The last update date is 2007-07-08.
Dale Cordes Provost's current location address is 4300 W 7th St, Little Rock, Arkansas. You can contact this provider via phone number 5012576598 and fax number 5012576602. The mailing address for Dale Cordes Provost is 4300 W 7th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Cordes Provost |
|---|---|
| Address | 4300 W 7th St, Little Rock, Arkansas |
| Phone Number | 5012576598 |
| Fax Number | 5012576602 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1225134919 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4300 W 7th St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055446 |
| Phone Number | 5012576598 |
| Fax Number | 5012576602 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 84-11P |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Dale Cordes Provost by the Centers for Medicare & Medicaid Services?
The Dale Cordes Provost has been issued the NPI (National Provider Identifier) 1225134919. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dale Cordes Provost?
The Dale Cordes Provost is physically situated at 4300 W 7Th St, in the city of Little Rock, state of AR, with the postal code 722055446.
What is Dale Cordes Provost's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dale Cordes Provost is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When was the Dale Cordes Provost's 1225134919 issued?
The Dale Cordes Provost's 1225134919 was issued on 2006-09-16.
When was the information regarding Dale Cordes Provost most recently updated?
The details pertaining to the Dale Cordes Provost, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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