Provost, Dale Cordes

Provost, Dale Cordes is an individual health care provider with primary practice located at 4300 W 7Th St 116T/Lr, Little Rock AR 72205-5446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Provost, Dale Cordes can be contacted via phone (501) 257-6598.

Contact Information

Primary practice address
4300 W 7Th St 116T/Lr Little Rock AR 72205-5446
Phone: (501) 257-6598
Fax: (501) 257-6602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 84-11P Arkansas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 84-11P Arkansas

Profile Details

NPI number 1225134919
LBN Legal business name Provost, Dale Cordes
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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