Provider Demographics
NPI:1326279423
Name:OKONIEWSKI, ARLENE VENICE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:VENICE
Last Name:OKONIEWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:SELKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:12158-9763
Mailing Address - Country:US
Mailing Address - Phone:518-475-9511
Mailing Address - Fax:
Practice Address - Street 1:31 UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:SELKIRK
Practice Address - State:NY
Practice Address - Zip Code:12158-9763
Practice Address - Country:US
Practice Address - Phone:518-475-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008750235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist