IndividualActive
Craig Provost, PH.D.
NPI 1801994165 · Clinical Psychologist · Little Rock, AR
Provider details
- NPI number
- 1801994165
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 84-12P (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4300 W 7th St
Mhsl (116t/Lr); Cavhs
Little Rock, AR 72205-5446
Phone: (501) 257-6599
Fax: (501) 257-6602
Approximate (ZIP-level) locationGet directions
Mailing address
17 Summerland Ct
Little Rock, AR 72227-3846
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.