Provider Demographics
NPI:1487636809
Name:ARNOLD, NAJJIYYA CHRISTINE (PHD CANDIDATE)
Entity Type:Individual
Prefix:MS
First Name:NAJJIYYA
Middle Name:CHRISTINE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHD CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8365 STONYBECK CIR
Mailing Address - Street 2:7902 GERBER ROAD, SUITE 232
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-6649
Mailing Address - Country:US
Mailing Address - Phone:916-705-6259
Mailing Address - Fax:916-897-9744
Practice Address - Street 1:8365 STONYBECK CIR
Practice Address - Street 2:7902 GERBER ROAD, SUITE 232
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-6649
Practice Address - Country:US
Practice Address - Phone:916-705-6259
Practice Address - Fax:916-897-9744
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-20
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94021376103T00000X, 103TC0700X, 103TP2701X
CAIMF 73333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1487636809OtherPSYCHOLOGICAL ASSISTANT REGISTRATION NO. PSB94021376
CA1487636809OtherMARRIAGE & FAMILY REGISTERED THERAPIST NO. IMF 73333