Provider Demographics
NPI:1508141680
Name:ARNOLD, JUDITH CECILIA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:CECILIA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-9449
Mailing Address - Country:US
Mailing Address - Phone:716-863-7349
Mailing Address - Fax:
Practice Address - Street 1:5201 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-9449
Practice Address - Country:US
Practice Address - Phone:716-863-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014909-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist