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Search › Arkansas › 103G00000X

Dale Provost, PH.D

NPI 1225134919 · on the registry since 2006

Practice

Address
4300 W 7th St
116t/Lr
Little Rock, AR 72205
Phone
(501) 257-6598
Fax
(501) 257-6602
Organisation at this address
Little Rock Vamc
Little Rock Vamc
Little Rock Vamc
Little Rock Vamc
Little Rock Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
524

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
103TC0700X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas