Mary Moore Ekdahl in North Little Rock - Clinical
Mary Moore Ekdahl - NPI 1710935218
Mary Moore Ekdahl is a Clinical in North Little Rock, Arkansas. Mary Moore Ekdahl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Moore Ekdahl is 1710935218. The last update date is 2013-03-08.
Mary Moore Ekdahl's current location address is 4004 Mccain Blvd, North Little Rock, Arkansas. You can contact this provider via phone number 5018124268 and fax number 5018124286. The mailing address for Mary Moore Ekdahl is 4004 Mccain Blvd, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Moore Ekdahl |
|---|---|
| Address | 4004 Mccain Blvd, North Little Rock, Arkansas |
| Phone Number | 5018124268 |
| Fax Number | 5018124286 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1710935218 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2013-03-08 |
Provider Mailing Address Detail
| Address | 4004 Mccain Blvd |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721168057 |
| Phone Number | 5018124268 |
| Fax Number | 5018124286 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 964P |
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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 |
|---|---|---|---|
| 139320719 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Moore Ekdahl by the Centers for Medicare & Medicaid Services?
The Mary Moore Ekdahl has been issued the NPI (National Provider Identifier) 1710935218 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary Moore Ekdahl's facilities are situated?
The facilities of Mary Moore Ekdahl are physically located at the following address: 4004 Mccain Blvd, North Little Rock, AR, 721168057.
What is Mary Moore Ekdahl's area of expertise and its corresponding taxonomy classification?
The Mary Moore Ekdahl's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Mary Moore Ekdahl's 1710935218 issued?
The Mary Moore Ekdahl's 1710935218 was issued on 2006-05-05.
When was the Mary Moore Ekdahl's information last updated?
The Mary Moore Ekdahl's information was last updated on 2013-03-08.