Craig Joseph Provost PH.D.

NPI 1801994165 - Psychologist - 103TC0700X

NPI Details
NPI 1801994165
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4300 W 7TH ST
LITTLE ROCK AR, 72205-5446, US
Phone (501) 257-6599
Fax (501) 257-6602
Business Location
LITTLE ROCK AR, 72227-3846, US
Phone (501) 225-5037
Taxonomy Code 103TC0700X
License State Arkansas
License Number 84-12P
Remove 1801994165 NPI Number

According to our database, Dr. Craig Joseph Provost PH.D. NPI is 1801994165, taxonomy code is 103TC0700X and license number is 84-12P, license state is located at Arkansas. Craig Joseph Provost PH.D. physically located at 4300 W 7th St, Little Rock AR, 72205-5446. NPI Number Craig Joseph Provost PH.D. has the Individual type.

Sponsored links

1801994165 NPI number is provided on an as is basis without warranty of any kind. 1801994165 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Joseph Provost PH.D. are for informational purposes only.