Individual provider · NPI-1

Dr. Gina Quebedeaux Boullion, Ph.D.

Psychologist, Cognitive & Behavioral · North Little Rock, AR

NPI number1346736162
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1346736162
Entity type
Individual (NPI-1)
Name
Dr. Gina Quebedeaux Boullion
Credential
Ph.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 4, 2018
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TB0200X Psychologist, Cognitive & Behavioral––Yes

Practice location

2200 Fort Roots Drive
Bldg 170, Unit 3d-151
North Little Rock, AR 72114

Phone 501-257-3925

Mailing address

2200 Fort Roots Drive
Bldg 170, Unit 3d-151
North Little Rock, AR 72114

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