Provider Demographics
NPI:1326566696
Name:CONRADI, ARLEEN SILVA (MA, EDS)
Entity Type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:SILVA
Last Name:CONRADI
Suffix:
Gender:F
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5352 GOOSEBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4629
Mailing Address - Country:US
Mailing Address - Phone:619-368-5147
Mailing Address - Fax:
Practice Address - Street 1:5352 GOOSEBERRY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4629
Practice Address - Country:US
Practice Address - Phone:619-368-5147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3697103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool