Mary Denise Compton in Little Rock - Clinical
Mary Denise Compton - NPI 1053490649
Mary Denise Compton is a Clinical in Little Rock, Arkansas. Mary Denise Compton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Denise Compton is 1053490649. The last update date is 2014-04-23.
Mary Denise Compton's current location address is 4301 W Markham St # 748, Little Rock, Arkansas. You can contact this provider via phone number 5016868000 and fax number 5016866234. The mailing address for Mary Denise Compton is 4301 W Markham St # 748, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Denise Compton |
|---|---|
| Address | 4301 W Markham St # 748, Little Rock, Arkansas |
| Phone Number | 5016868000 |
| Fax Number | 5016866234 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1053490649 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2014-04-23 |
Provider Mailing Address Detail
| Address | 4301 W Markham St # 748 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722057101 |
| Phone Number | 5016868000 |
| Fax Number | 5016866234 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10-27P |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 184870719 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Denise Compton by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Denise Compton has been assigned the NPI (National Provider Identifier) 1053490649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mary Denise Compton?
The Mary Denise Compton is situated at 4301 W Markham St # 748, in the city of Little Rock, state of AR, with the zip code 722057101.
What is the Mary Denise Compton's specialty and taxonomy code?
The Mary Denise Compton's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Mary Denise Compton receive its 1053490649 assignment from the Centers for Medicare & Medicaid Services?
The Mary Denise Compton was assigned its 1053490649 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the Mary Denise Compton's details last updated?
The information pertaining to the Mary Denise Compton, including its address, specialty, and other details, was most recently updated on 2014-04-23.