DALE CORDES PROVOST

LITTLE ROCK, AR
NPI1225134919
Professional NameDALE S. CORDES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AR  84-11P)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: AR  84-11P)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Dr. DALE CORDES PROVOST Ph.D.
4300 W 7TH ST 116T/LR
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-6598
Mailing Address
Dr. DALE CORDES PROVOST Ph.D.
17 SUMMERLAND CT
LITTLE ROCK, AR 72227-3846
Phone number: 501-225-5037