Individual
DR. TRACIE L. PASOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 MARSHALL ST # 512-9, DEPT. OF PEDIATRICS, SECTION OF ADOLESCENT MEDICINE, LITTLE ROCK, AR 72202-3510
(501) 364-1849
(501) 364-6728
Mailing address
800 MARSHALL ST # 512-9, DEPT. OF PEDIATRICS, SECTION OF ADOLESCENT MEDICINE, LITTLE ROCK, AR 72202-3510
(501) 364-1849
(501) 364-6728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07-24P
AR
Other
Enumeration date
07/18/2007
Last updated
10/18/2007
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