1164750386 NPI number — MARCIA LYNN ARNOLD MARCIA ARNOLD,M.A.

Table of content: MARCIA LYNN ARNOLD MARCIA ARNOLD,M.A. (NPI 1164750386)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164750386 NPI number — MARCIA LYNN ARNOLD MARCIA ARNOLD,M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARNOLD
Provider First Name:
MARCIA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MARCIA ARNOLD,M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARNOLD
Provider Other First Name:
MARCIA
Provider Other Middle Name:
L.
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MARCIA ARNOLD, M.A.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1164750386
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5918 ELBA PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91367-2961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-807-6712
Provider Business Mailing Address Fax Number:
818-884-7236

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5918 ELBA PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367-2961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-807-6712
Provider Business Practice Location Address Fax Number:
818-884-7236
Provider Enumeration Date:
11/29/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4370 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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