DR. DALE CORDES PROVOST PH.D.
NPI 1225134919
Clinical Neuropsychologist in Little Rock, AR

Q: What is Dale Provost's NPI number?

The NPI number for Dale Provost is 1225134919. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Dale S. Cordes Ph.D..

Q: What is Dale Provost's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Provost was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2006

4300 W 7TH ST, 116T/LR, LITTLE ROCK, AR 72205(501) 257-6598(501) 257-6602 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Dale Cordes Provost Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE CORDES PROVOST PH.D. (NPI 1225134919) is an individual clinical neuropsychologist in Little Rock, Arkansas, licensed in Arkansas (84-11P) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1225134919

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. DALE CORDES PROVOSTCredential: PH.D.

Location Address4300 W 7TH ST, 116T/LRLittle Rock, AR 72205-5446

Mailing Address17 Summerland CtLittle Rock, AR 72227-3846 · (501) 225-5037 · Fax (501) 257-6602

Phone(501) 257-6598

Fax(501) 257-6602

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1225134919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in AR · 84-11P

Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 84-11P (AR)

4300 W 7TH ST, Little Rock, AR 72205

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Other Names 1

Professional Name (2)Dr. Dale S. Cordes Ph.d.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORLANDO ANDERSON MLS (ASCP)

Technician, Pathology (Medical Laboratory)

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-1000

AUBREY REYNOLDS RRT

Respiratory Therapist, Registered

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-5772

TRAN NGUYEN RRT

Respiratory Therapist, Registered

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-5772

DR. MIRIAM ROSE ANNE OAKUM M.D.

Internal Medicine

4300 W 7TH ST, MAILSTOP 11C/LR
LITTLE ROCK, AR 72205

Pulaski County (501) 257-5050

DR. STEVEN KYSER M.D.

Family Medicine

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-5050

ANGELA M. ERGLE PHARM. D.

Pharmacist

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-1000

GABRIEL SETH BENNETT

Pharmacist

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-1000

MS. ALEXANDRIA BRIDGES RD

Dietitian, Registered

4300 W 7TH ST
LITTLE ROCK, AR 72205

Pulaski County (501) 257-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Provost's NPI number?

The NPI number for Dale Provost is 1225134919. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Dale S. Cordes Ph.D..

Where is Dale Provost located?

Dale Provost practices at 4300 W 7th St 116t/Lr, Little Rock, AR 72205. The listed phone number is (501) 257-6598.

What is Dale Provost's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Dale Provost was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.