Individual provider · Type 1 NPI

Addie Lois Carroll

Developmental Therapist · North Little Rock, AR

NPI number 1508340100 Active

Practice location

6900 N Hills Blvd
North Little Rock, AR 72116-5423

Fax (501) 833-0957

Mailing address

9422 Duke Dr
Little Rock, AR 72204-4312

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1508340100

Addie Lois Carroll's National Provider Identifier is 1508340100, issued on Sep 19, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in North Little Rock, AR. The record was last updated on Sep 19, 2018.