Provider Demographics
NPI:1164750386
Name:ARNOLD, MARCIA LYNN (MARCIA ARNOLD,MA)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:LYNN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MARCIA ARNOLD,MA
Other - Prefix:MS
Other - First Name:MARCIA
Other - Middle Name:L
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARCIA ARNOLD, MA
Mailing Address - Street 1:5918 ELBA PL
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2961
Mailing Address - Country:US
Mailing Address - Phone:818-807-6712
Mailing Address - Fax:818-884-7236
Practice Address - Street 1:5918 ELBA PL
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2961
Practice Address - Country:US
Practice Address - Phone:818-807-6712
Practice Address - Fax:818-884-7236
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist