Individual
DR. MARIE MICHELE MESIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2200 FORT ROOTS DR, MAIL STOP 116B/NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3231
Mailing address
2200 FORT ROOTS DR, MAIL STOP 116B/NLR, NORTH LITTLE ROCK, AR 72114-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
09-17P
AR
103TC0700X
Clinical Psychologist
9037
MA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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