Search › Arkansas › 103TS0200X
Ida Trice, PH.D
NPI 1700176542 · on the registry since 2011
Practice
- Address
- 122 Rose
Berryville, AR 72616 - Phone
- (870) 423-9133
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 171R00000X
235Z00000X - Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-13
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