Provider Demographics
NPI:1093741605
Name:SKLUT, ARTHUR JAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JAY
Last Name:SKLUT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 KIRBY ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-1444
Mailing Address - Country:US
Mailing Address - Phone:508-984-8234
Mailing Address - Fax:508-984-8234
Practice Address - Street 1:71 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3822
Practice Address - Country:US
Practice Address - Phone:508-747-2718
Practice Address - Fax:508-747-5209
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4615103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical