NPI 1346736162 · live from the CMS NPI Registry
Gina Quebedeaux Boullion, Ph.D.
Psychologist, Cognitive & Behavioral in North Little Rock, AR. National Provider Identifier 1346736162, active.
NPI record
| NPI | 1346736162 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Cognitive & Behavioral 103TB0200X |
| Practice location | 2200 Fort Roots Drive, Bldg 170, Unit 3d-151, North Little Rock, AR 72114 |
| Practice phone | 501-257-3925 |
| Enumerated | July 4, 2018 |
| Last updated | June 30, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Cognitive & Behavioral primary | 103TB0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.