Provider Demographics
NPI:1508856881
Name:ARNST, DENNIS JAMES (PHD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:JAMES
Last Name:ARNST
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4974 N FRESNO ST
Mailing Address - Street 2:#556
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0317
Mailing Address - Country:US
Mailing Address - Phone:559-686-2599
Mailing Address - Fax:559-436-0526
Practice Address - Street 1:1066 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2251
Practice Address - Country:US
Practice Address - Phone:559-686-2599
Practice Address - Fax:559-436-0526
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU293231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1508856881OtherNPI
CAAU0002931Medicaid
CAZZZ773712Medicare UPIN