Dr Mara Elizabeth Whiteside, PHD is a
Clinical Neuropsychologist based in Springdale, Arkansas. Dr Mara Elizabeth Whiteside is licensed to practice in Arkansas (license number 17-24P) and her current practice location is
2575 S. Gene George Blvd., Ste. 100, Springdale, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 750-0125.
NPI number for Dr Mara Elizabeth Whiteside is 1013408137 and her current mailing address is 2575 S. Gene George Blvd, Ste. 100, Springdale, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013408137.
Healthcare Provider's Profile
Full Name | Dr Mara Elizabeth Whiteside |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 2575 S. Gene George Blvd., Springdale, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013408137
- Provider Enumeration Date: 05/24/2018
- Last Update Date: 01/09/2024
Medical Identifiers
Medical identifiers for Dr Mara Elizabeth Whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013408137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 17-24P (Arkansas) | Secondary |
103TS0200X | Psychologist - School | 17-24P (Arkansas) | Secondary |
103G00000X | Clinical Neuropsychologist | 17-24P (Arkansas) | Primary |
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 Mara Elizabeth Whiteside 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 Mara Elizabeth Whiteside, PHD 2575 S. Gene George Blvd, Ste. 100, Springdale, AR 72762 Ph: (479) 750-0125 | Dr Mara Elizabeth Whiteside, PHD 2575 S. Gene George Blvd., Ste. 100, Springdale, AR 72762 Ph: (479) 750-0125 |
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