Dr Ida Linda Trice, PHD is a
Psychologist - School based in Berryville, Arkansas. Dr Ida Linda Trice is licensed to practice in Arkansas (license number #316) and her current practice location is
122 Rose, Berryville, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 423-9133.
NPI number for Dr Ida Linda Trice is 1700176542 and her current mailing address is P.o. Box 771, Berryville, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700176542.
Healthcare Provider's Profile
| Full Name | Dr Ida Linda Trice |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
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| Location | 122 Rose, Berryville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700176542
- Provider Enumeration Date: 04/13/2011
- Last Update Date: 04/13/2011
Medical Identifiers
Medical identifiers for Dr Ida Linda Trice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700176542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | #316 (Arkansas) | Primary |
| 171R00000X | Interpreter | #291,#292 (Arkansas) | Secondary |
| 235Z00000X | Speech-language Pathologist | #317 (Arkansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ida Linda Trice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ida Linda Trice, PHD
P.o. Box 771,
Berryville, AR 72618
Ph: (870) 423-9133 | Dr Ida Linda Trice, PHD
122 Rose,
Berryville, AR 72616
Ph: (870) 423-9133 |
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