Individual provider · Type 1 NPI

Craig Joseph Provost, PhD

Clinical Psychologist · Little Rock, AR

NPI number 1801994165 Active

Practice location

4300 W 7th St, Mhsl (116T/LR); Cavhs
Little Rock, AR 72205-5446

Fax (501) 257-6602

Mailing address

17 Summerland Ct
Little Rock, AR 72227-3846

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X84-12P (AR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1801994165

Craig Joseph Provost, PhD's National Provider Identifier is 1801994165, issued on Sep 20, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Little Rock, AR. The record was last updated on Jul 8, 2007.