Provider Demographics
NPI:1275108920
Name:CROES-ORF, EILEEN MARGARET (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:MARGARET
Last Name:CROES-ORF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:CROES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2200 FORT ROOTS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-3966
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DRIVE
Practice Address - Street 2:BLDG 171 3L 148; ATTN: DR. CROES-ORF
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:561-523-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR202115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical