Healthcare Provider Details

I. General information

NPI: 1033026505
Provider Name (Legal Business Name): GRISELDA P DELGADO TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 21ST ST STE G
LITTLE ROCK AR
72206-2350
US

IV. Provider business mailing address

14003 WIMBLEDON LOOP
LITTLE ROCK AR
72210-5752
US

V. Phone/Fax

Practice location:
  • Phone: 501-300-7456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13024-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: