NPI 1720178395 · live from the CMS NPI Registry
Dawn Phelps Doray, PsyD
Psychologist, Clinical Child & Adolescent in Little Rock, AR. National Provider Identifier 1720178395, active.
NPI record
| NPI | 1720178395 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 10800 Financial Centre Pkwy, Suite 490, Little Rock, AR 72211 |
| Practice phone | 501-240-1167 |
| Enumerated | October 13, 2006 |
| Last updated | March 3, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 04-3P (AR) |
| Psychologist, Clinical | 103TC0700X | 04-3P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.