NPI 1487697165 · live from the CMS NPI Registry
Geriann T Dillender, Psy.D
Psychologist, Clinical in Little Rock Afb, AR. National Provider Identifier 1487697165, active.
NPI record
| NPI | 1487697165 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1090 Arnold Dr, Little Rock Afb, AR 72099 |
| Practice phone | 501-987-3080 |
| Mailing address | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Enumerated | June 13, 2006 |
| Last updated | June 27, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | MO2012014235 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.