Whalio Doctors

NPI 1225134919

Dale Cordes Provost, PHD

Practitioner Clinical Neuropsychologist Little Rock, AR

Practice location

Address
4300 W 7th St 116t/Lr, Little Rock, AR 72205-5446
Phone
(501) 257-6598
Fax
(501) 257-6602
Mailing address
17 Summerland CT, Little Rock, AR 72227-3846

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 84-11P (AR)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 84-11P (AR)

Registry record

NPI
1225134919
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.