DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DALE CORDES PROVOST, PH.D.

Active

DR. DALE CORDES PROVOST, PH.D. is a Clinical Neuropsychologist healthcare provider located in LITTLE ROCK, Arkansas. NPI 1225134919 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LITTLE ROCK, AR

Registration Details

NPI Number
1225134919
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2006 (19.876604125332 yrs)
Last Updated
Sep 11, 2025
Licenses
84-11P (AR)
84-11P (AR)

Practice Information

Address
4300 W 7TH ST
116T/LR
LITTLE ROCK, AR, 722055446
Browse AR providers · Browse ZIP 72205
Phone
5012576598
Fax
5012576602
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in LITTLE ROCK, AR

Name Credential NPI
DR. MICHAEL GERARD HAZLEWOOD PH.D. 1043218472
AVRAM ZOLTEN PHD 1770572935
DR. RENEE CARLENE MAGIERA-PLANEY PH.D. 1164489290
DR. JENNIFER LEWIS GESS PH.D. 1740392919
JENNIFER S KLEINER PHD 1861580805
ROBERT LAW PHD 1831289495
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.