NPI 1831589431 · live from the CMS NPI Registry
Lilli-Anna Baca
Psychologist in El Dorado, AR. National Provider Identifier 1831589431, active.
NPI record
| NPI | 1831589431 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 715 N College Ave, El Dorado, AR 71730 |
| Practice phone | 870-862-7921 |
| Mailing address | 110 Skyline Dr, Russellville, AR 72801 |
| Enumerated | February 3, 2015 |
| Last updated | January 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Psychologist primary | 103T00000X | 202116 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.