Individual
DR. MARY MOORE EKDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4004 MCCAIN BLVD, SUITE 203, NORTH LITTLE ROCK, AR 72116-8057
(501) 812-4268
(501) 812-4286
Mailing address
4004 MCCAIN BLVD, SUITE 203, NORTH LITTLE ROCK, AR 72116-8057
(501) 812-4268
(501) 812-4286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
964P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139320719
—
AR
Enumeration date
05/05/2006
Last updated
03/08/2013
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