Doctor Name: | MANDALYN ELIZABETH EASTON |
NPI Number: | 1366680662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPE |
License Number: | 10-03E |
Business Practice Address: | 1301 Wolfe St Little Rock, AR - 722025320 |
Business Phone Number: | 5013641830 |
Business Fax Number: | |
Mailing Address: | 1301 Wolfe St, LITTLE ROCK |
State: | AR |
Postal Code: | 722025320 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 10-03E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |