Provider Demographics
NPI:1063645521
Name:ARNOLD, KAREN (EDS)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 NE 202ND TER
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32696-2875
Mailing Address - Country:US
Mailing Address - Phone:352-214-0201
Mailing Address - Fax:866-626-9631
Practice Address - Street 1:2351 NE 202ND TER
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:FL
Practice Address - Zip Code:32696-2875
Practice Address - Country:US
Practice Address - Phone:352-214-0201
Practice Address - Fax:866-626-9631
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS 704103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service