Elizabeth Pulliam in Little Rock - Clinical Child & Adolescent
Elizabeth Pulliam - NPI 1669572202
Elizabeth Pulliam is a Clinical Child & Adolescent in Little Rock, Arkansas. Elizabeth Pulliam practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Elizabeth Pulliam is 1669572202. The last update date is 2009-10-16.
Elizabeth Pulliam's current location address is 1 Children's Way # 653, Little Rock, Arkansas. You can contact this provider via phone number 5013641100 and fax number 5015266562. The mailing address for Elizabeth Pulliam is 1 Children's Way # 653, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Pulliam |
|---|---|
| Address | 1 Children's Way # 653, Little Rock, Arkansas |
| Phone Number | 5013641100 |
| Fax Number | 5015266562 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1669572202 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2009-10-16 |
Provider Mailing Address Detail
| Address | 1 Children's Way # 653 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722023510 |
| Phone Number | 5013641100 |
| Fax Number | 5015266562 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 06-27P |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6090017700 | AR | QUALCHOICE | |
| P00412563 | AR | RAILROAD MEDICARE | |
| 162693719 | AR | -- |
Post Comment/ Review Below
What is the Elizabeth Pulliam's 1669572202?
The Elizabeth Pulliam's NPI (National Provider Identifier) Number is 1669572202. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Elizabeth Pulliam located?
The Elizabeth Pulliam is located at 1 Children'S Way # 653, Little Rock, AR 722023510.
What is the Elizabeth Pulliam's area of specialization and corresponding taxonomy classification?
The Elizabeth Pulliam's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date was the 1669572202 assigned to Elizabeth Pulliam?
The Elizabeth Pulliam was issued its 1669572202 on 2006-09-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Elizabeth Pulliam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elizabeth Pulliam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-16.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC