Individual
ELIZABETH PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
(501) 526-6562
Mailing address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
(501) 526-6562
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06-27P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
06-27P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06090017700
QUALCHOICE
AR
05
—
162693719
—
AR
01
—
P00412563
RAILROAD MEDICARE
AR
Enumeration date
09/24/2006
Last updated
10/16/2009
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