Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0700X | Adult Development & Aging Psychologist | 015276 | NY |
NPI | 1194701383 |
---|---|
Provider Name | Dr. Merla Arnold |
First Address | Huntington Station, NY 11746-2811 |
Second Address | Huntington Station, NY 11746-2811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02358794 | (05) | NY |