EUGENIA BOOZER (NPI# 1447899646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447899646 |
Entity Type | Individual |
Full Name | EUGENIA BOOZER |
Credential | PSY. D |
Practice Address |
2200 Fort Roots Dr North Little Rock AR 72114-1709 |
Mailing Address |
1637 Rockwater Blvd Apt 105 North Little Rock AR 72114-4255 |
Practice Telephone | 2562830813 |
Mailing Telephone | 2562830813 |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2146 | AL | Behavioral Health & Social Service Providers |
Street Address |
2200 FORT ROOTS DR |
City | NORTH LITTLE ROCK |
State | AR |
Zip Code | 72114-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750388401 | Ivy V Mcgee | Family Medicine | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2005-07-07 |
1477161586 | Kaila Mitchell | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-07-15 |
1689200040 | Tonie Brenee' Williams | Social Worker | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-03-18 |
1376181263 | Linda Shrader | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-12-11 |
1205470507 | Julie Renee Thyberg | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-10-30 |
1588215966 | Venius Vernester Russell | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-26 |
1538718119 | Mary Kathryn Martin | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-06 |
1689223596 | Meriline White | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-04 |
1124677943 | Felicia Clayton | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-09-04 |
1518512870 | Jessica S. Bryant | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
Find all providers in zip 72114 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902579 | Kaitlyn Marie Gall | Clinical Neuropsychologist | 6020 Warden Rd Ste 210, Sherwood, AR 72120-6015 | 2020-11-02 |
1033510037 | Seth T Sorensen | Clinical Neuropsychologist | 1 Childrens Way # 512-21, Little Rock, AR 72202 | 2014-09-09 |
1912205725 | Consulting Psychology of Western Arkansas, Inc. | Clinical Neuropsychologist | 1100 S Waldron Rd, Fort Smith, AR 72903-2552 | 2011-03-02 |
1841507894 | Kristin J Addison-brown | Clinical Neuropsychologist | 304 Southwest Sq, Jonesboro, AR 72401-5984 | 2010-09-10 |
1851619613 | Neuropsychology Associates, P.a. | Clinical Neuropsychologist | 620 Dutton Mountain Rd, Center Ridge, AR 72027-8469 | 2010-05-04 |
1225367725 | Elizabeth Speck-kern | Clinical Neuropsychologist | 3 Innwood Cr., Ste 111, Little Rock, AR 72211 | 2009-12-11 |
1477785822 | Andrews Neuropsychology Consulting, Pplc | Clinical Neuropsychologist | 1701 Centerview Dr Ste 123, Little Rock, AR 72211-4311 | 2009-08-19 |
1851501803 | Garrett Andrews | Clinical Neuropsychologist | 2400 Riverfront Dr, Apt. 1437, Little Rock, AR 72202-2208 | 2007-05-22 |
1538215660 | Ronald Eugene Mcinroe | Clinical Neuropsychologist | 217 North East, Fayetteville, AR 72701 | 2007-01-25 |
1033285150 | William Austin Cochran IIi | Clinical Neuropsychologist | 287 Valley Club Cir, Little Rock, AR 72212-2934 | 2006-11-28 |
Find all providers with the same taxonomy |
City | NORTH LITTLE ROCK |
Zip Code | 72114 |
Please comment or provide details below to improve the information on EUGENIA BOOZER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.