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 Neuropsychologist 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:
Health care specialties
| Specialty | Code | License # | 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 | Sep 11th, 2025 - about last year |
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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