Pulliam, Elizabeth

Pulliam, Elizabeth is an individual health care provider with primary practice located at 1 Children'S Way # 653 , Little Rock AR 72202-3510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pulliam, Elizabeth can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Children'S Way # 653 Little Rock AR 72202-3510
Phone: (501) 364-1100
Fax: (501) 526-6562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 06-27P Arkansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 06-27P Arkansas

Profile Details

NPI number 1669572202
LBN Legal business name Pulliam, Elizabeth
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Oct 16th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669572202 NPPES
Arkansas Other 06090017700 QUALCHOICE
Arkansas Other P00412563 QUALCHOICE
Arkansas MEDICAID 162693719 QUALCHOICE

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