Geriann T Dillender, PSY.D
Individual provider Active NPI Clinical Psychologist · Little Rock Afb, AR
NPI 1487697165 · NPPES record last updated Jun 27, 2019
Key facts
- NPI
- 1487697165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- MO2012014235 (MO)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-6600 - Phone
- (501) 987-3080
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO2012014235 | MO | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | MO2012014235 | MO | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-6600
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-3808
Other practice location 1
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3808
Other providers in Little Rock Afb, AR
- Valerie J Clegg
- Ashley Brett Coolman
- Thomas Richard Degraff III
- Patrick Depriest
- Mylinda Lou Dill
- Alex Dudash
- Matthew Joe Edwards
- Tracy Shawn Edwards
- Tamara Lilloux Elsen
- Drew Ferguson
All providers in Little Rock Afb, AR · Clinical Psychologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.