Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARA ELIZABETH WHITESIDE, PHD
Active Sole ProprietorDR. MARA ELIZABETH WHITESIDE, PHD is a Clinical Neuropsychologist healthcare provider located in SPRINGDALE, Arkansas. NPI 1013408137 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · SPRINGDALE, AR
Registration Details
- NPI Number
- 1013408137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2018 (8.2398641362446 yrs)
- Last Updated
- Jan 9, 2024
- Licenses
-
17-24P (AR)17-24P (AR)17-24P (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2575 S. GENE GEORGE BLVD.STE. 100SPRINGDALE, AR, 72762Browse AR providers · Browse ZIP 72762
- Phone
- 4797500125
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- School Psychologist
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.