DR. DALE PROVOST, PH.D.

Clinical Neuropsychologist

Active Individual
NPI: 1225134919

Practice Address

4300 W 7TH ST
116T/LR
Little Rock, AR 72205

Phone: (501) 257-6598

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X No 84-11P (AR)
Clinical Neuropsychologist 103G00000X Yes 84-11P (AR)

Frequently Asked Questions

NPI 1225134919 is the National Provider Identifier for DR. DALE PROVOST, PH.D., a Clinical Neuropsychologist provider located in Little Rock, AR. This NPI was enumerated on September 16, 2006.
DR. DALE PROVOST, PH.D. practices at 4300 W 7TH ST, 116T/LR, Little Rock, AR 72205.

Quick Facts

NPI
1225134919
Type
Individual
Enumerated
Sep 16, 2006
Last Updated
Sep 11, 2025

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