DR. MARA ELIZABETH WHITESIDE PHD NPI 1013408137

NPI Information

NPI: 1013408137
Provider Name: DR. MARA ELIZABETH WHITESIDE, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
2575 S. GENE GEORGE BLVD.
STE. 100
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-0125
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DR. Mara Elizabeth Whiteside, PHD is a clinical neuropsychologist in Springdale, AR. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Mara Elizabeth Whiteside, PHD NPI is 1013408137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2575 S. GENE GEORGE BLVD.
STE. 100
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-0125

The enumeration date for this NPI number is 5/24/2018 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		17-24P	ARKANSAS	No
2	103TS0200X	Psychologist	School	17-24P	ARKANSAS	No
3	103G00000X	Clinical Neuropsychologist		17-24P	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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