Provider Demographics
NPI:1013407493
Name:ARNOLD, CASSIDY C (PHD)
Entity Type:Individual
Prefix:DR
First Name:CASSIDY
Middle Name:C
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 STUART ENGALS BLVD STE 204-A
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3600
Mailing Address - Country:US
Mailing Address - Phone:843-849-9913
Mailing Address - Fax:843-881-6878
Practice Address - Street 1:1459 STUART ENGALS BLVD STE 204-A
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3600
Practice Address - Country:US
Practice Address - Phone:843-849-9913
Practice Address - Fax:843-881-6878
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1447103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical