Healthcare Provider Details

I. General information

NPI: 1902749807
Provider Name (Legal Business Name): MEREDITH A POLLOCK PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR
N LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

3128 N HILLS BLVD APT 13206
N LITTLE ROCK AR
72116-9475
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-3202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY900345
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: